Individual
KATHERINE A IRISH-CLARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1301 S E ST, FORT SMITH, AR 72901-4716
(479) 785-2431
(479) 494-7787
Mailing address
612 S 12TH ST, FORT SMITH, AR 72901-4702
(479) 785-2431
(479) 494-7787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-2393
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08172336
—
MS
05
—
100000610A
—
OK
05
—
143782001
—
AR
05
—
1646351
—
LA
01
—
19334000001
QUALCHOICE
AR
01
—
2087945
UNITED HEALTHCARE
AR
01
—
5L856
BLUE CROSS/BLUE SHIELD
AR
01
—
7889253
AETNA
—
01
—
9642236001
CIGNA
—
01
—
P00127019
RAILROAD MEDICARE
—
Enumeration date
06/09/2005
Last updated
03/07/2023
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