Individual
CHRISTOPHER A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3581 HARRODSBURG RD STE 350, LEXINGTON, KY 40513-1140
(859) 313-3400
(859) 313-3087
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009639
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100379660
—
KY
Enumeration date
10/14/2015
Last updated
02/25/2025
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