Individual
KARA M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
304 FEDERAL RD, SUITE 201, BROOKFIELD, CT 06804-2418
(203) 740-2593
(203) 740-8250
Mailing address
124 WYNWOOD DR, NEW MILFORD, CT 06776-4231
(203) 740-2593
(203) 740-8250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003391
CT
363AM0700X
Medical Physician Assistant
003391
CT
Other
Enumeration date
10/19/2015
Last updated
11/23/2015
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