Organization
K. CLARK FAMILY MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAILYNN CLARK NP (PROVIDER)
(480) 518-5251
Entity
Organization
Contact information
Practice address
19938 E CARRIAGE WAY, QUEEN CREEK, AZ 85142-4907
(480) 518-5251
Mailing address
19938 E CARRIAGE WAY, QUEEN CREEK, AZ 85142-4907
(480) 518-5251
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/18/2023
Last updated
05/11/2024
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