Individual
KATHRYN ANN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
283 FOUNDATION FRK, MATEWAN, WV 25678-7914
(304) 426-8018
Mailing address
283 FOUNDATION FRK, MATEWAN, WV 25678-7914
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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