Individual
KATHERINE SOMERS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RDN,CNSC,LD
Contact information
Practice address
2615 E 20TH ST, JOPLIN, MO 64804-1039
(417) 624-7546
Mailing address
2443 S CHAPEL RD, CARTHAGE, MO 64836-8403
(417) 388-3812
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
2001013727
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001013727
LICENSE
MO
Enumeration date
10/22/2018
Last updated
10/22/2018
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