Individual
KRISTA NOEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10496 MONTGOMERY RD STE 110, MONTGOMERY, OH 45242-5220
(513) 671-7700
(513) 671-5435
Mailing address
10496 MONTGOMERY RD STE 110, MONTGOMERY, OH 45242-5220
(513) 671-7700
(513) 671-5435
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34.016635
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2019
Last updated
09/08/2023
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