Individual
DR. CASEY LANE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1850 BYPASS RD, WINCHESTER, KY 40391-2300
(859) 744-5111
(859) 744-1177
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(859) 744-5111
(859) 744-1177
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56386
KY
208000000X
Pediatrics Physician
56386
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100615740
—
KY
Enumeration date
03/23/2018
Last updated
05/11/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us