Individual
KAULETTE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(952) 936-1300
Mailing address
3568 LINK VALLEY DR, HOUSTON, TX 77025-5102
(713) 435-9338
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP127823
TX
Other
Enumeration date
05/14/2015
Last updated
07/20/2020
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