Individual
DR. KATHRYN KAIB CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2782 N COBB PKWY, KENNESAW, GA 30152-3472
(770) 420-1092
Mailing address
48 MEADOW GLEN WAY, ACWORTH, GA 30101-5955
(770) 355-7068
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18707
GA
183500000X
Pharmacist
35470
SC
Other
Enumeration date
12/27/2020
Last updated
12/27/2020
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