Individual
DR. MELISSA KIPP CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
5304 MANATEE AVE W, BRADENTON, FL 34209-3743
(941) 747-7620
(941) 747-7148
Mailing address
5304 MANATEE AVE W, BRADENTON, FL 34209-3743
(941) 747-7620
(941) 747-7148
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY898
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3967300
—
FL
Enumeration date
05/04/2007
Last updated
06/21/2013
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