Individual
MISS KAY ROSE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1465 SOUTH MAIN STREET, WALNUT CREEK, CA 94596
(925) 295-4465
Mailing address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1957
CA
Other
Enumeration date
01/24/2007
Last updated
05/12/2016
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