Individual
EMILY KAYE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3821 VINCENT STATION DR, OWENSBORO, KY 42303-9315
(270) 478-5334
(270) 216-6920
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1102616
KY
363L00000X
Nurse Practitioner
Primary
3007200
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100190860
—
KY
Enumeration date
09/13/2011
Last updated
04/16/2024
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