Individual
KATHRYN M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 470-6186
Mailing address
PO BOX 15609, DURHAM, NC 27704-0609
(919) 384-0700
(919) 384-0600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 128359
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
1689
NC
367500000X
Certified Registered Nurse Anesthetist
AANA 077459
NC
Other
Enumeration date
07/26/2007
Last updated
08/09/2021
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