Individual
JUDY KATE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2740A BATTLEFIELD MEMORIAL HWY, BEREA, KY 40403-8332
(859) 986-0302
(859) 986-0315
Mailing address
PO BOX 73652, CLEVELAND, OH 44193-0002
(859) 313-2758
(859) 276-5939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006764
KY
Other
Enumeration date
01/26/2011
Last updated
08/17/2012
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