Individual
KATHERINE ELIZABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
234 GOODMAN ST, HOSPITALIST ML 670, CINCINNATI, OH 45219-2364
(513) 584-7545
(513) 584-0851
Mailing address
3200 BURNET AVE, 3 SOUTH, CINCINNATI, OH 45229-3019
(513) 584-7545
(513) 584-0851
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-121266
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2010
Last updated
05/28/2013
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