Individual
KATHRYN JANE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10065 E HARVARD AVE, DENVER, CO 80231-5968
(303) 614-1400
Mailing address
13642 GARFIELD ST, UNIT B, THORNTON, CO 80602-8850
(720) 201-3533
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
46459
CO
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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