Individual
DR. GRACE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DVM
Contact information
Practice address
13160 MAGISTERIAL DR, LOUISVILLE, KY 40223-4102
(502) 244-3036
Mailing address
13160 MAGISTERIAL DR, LOUISVILLE, KY 40223-4102
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
NS-4846
KY
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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