Individual
KEEGAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
532 W PITTSBURGH ST, GREENSBURG, PA 15601-2239
(724) 832-4626
Mailing address
1903 STATE ROUTE 130, GREENSBURG, PA 15601-6356
(724) 493-1255
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA066049
PA
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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