Organization
CLARK CHIROPRACTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON PHILLIP CLARK D.C. (OWNER)
(270) 852-9355
Entity
Organization
Contact information
Practice address
507 E PARRISH AVE, OWENSBORO, KY 42303-3126
(270) 852-9355
(270) 852-1870
Mailing address
507 E PARRISH AVE, OWENSBORO, KY 42303-3126
(270) 852-9355
(270) 852-1870
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4784
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85003150
—
KY
Enumeration date
03/09/2007
Last updated
11/06/2018
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