Individual
HILLARY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
192 LONDON SHOPPING CTR STE 2, LONDON, KY 40741
(606) 330-7370
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011821
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100508480
—
KY
Enumeration date
11/08/2017
Last updated
07/11/2019
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