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Individual

MATTHEW BRIAN CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN, FNP-C

Contact information

Practice address
521 ROBINBROOKE BLVD, ELIZABETHTOWN, KY 42701-5904
(270) 979-6944
(270) 979-5778
Mailing address
110 LAYMAN LN, ELIZABETHTOWN, KY 42701-2523
(270) 706-6944
(270) 706-5778

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4017497
KY

Other

Enumeration date
03/21/2024
Last updated
04/23/2026
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