Individual
KATHLEEN MARGARET CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP-C
Contact information
Practice address
580 COURT ST, KEENE, NH 03431-1718
(603) 354-5400
Mailing address
PO BOX 810, HANOVER, NH 03755-0810
(603) 308-1467
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
101.0134242
VT
363LF0000X
Family Nurse Practitioner
Primary
1376013235
NH
Other
Enumeration date
12/04/2018
Last updated
04/20/2023
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