Individual
SARAH ELIZABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1023 NEW MOODY LN, SUITE 102, LA GRANGE, KY 40031
(502) 222-0598
(502) 222-7446
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4900
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007451
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100224760
—
KY
Enumeration date
11/09/2012
Last updated
12/02/2020
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