Organization
CLARK ELEMENTARY SCHOOL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE JO HAYS (FINANCE ADMINISTRATOR)
(270) 444-9625
Entity
Organization
Contact information
Practice address
3401 BUCKNER LN, PADUCAH, KY 42001-4732
(270) 444-5730
Mailing address
PO BOX 2357, PADUCAH, KY 42002-2357
(270) 444-9625
(270) 575-5458
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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