Individual
KALA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
216 W DIVISION ST, CLARINDA, IA 51632-2509
(712) 542-2388
(712) 542-2984
Mailing address
216 W DIVISION ST, CLARINDA, IA 51632-2509
(712) 542-2388
(712) 542-2984
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G177448
IA
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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