Individual
FRANK C CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
TRILLIUM WAY, CORBIN, KY 40701-8445
(606) 528-1212
(606) 523-2547
Mailing address
2 TRILLIUM WAY STE 205, CORBIN, KY 40701-8445
(606) 523-2140
(606) 523-2547
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
36432
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000200592
ANTHEM
KY
05
—
64044878
—
KY
Enumeration date
08/28/2006
Last updated
07/08/2007
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