Individual
KRISTIN C CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA
Contact information
Practice address
975 E 3RD ST, CHATTANOOGA, TN 37403-2147
(423) 778-6515
Mailing address
975 E 3RD ST, CHATTANOOGA, TN 37403-2147
(423) 778-6515
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
0000000020
TN
Other
Enumeration date
11/14/2018
Last updated
02/22/2021
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