Individual
DR. JENNIFER KARA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-3871
Mailing address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-3871
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
26132
SC
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
27873
OK
208000000X
Pediatrics Physician
26132
SC
Other
Enumeration date
10/21/2006
Last updated
01/13/2014
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