Individual
MRS. KATHRYN LYNN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
221 W COLORADO BLVD STE 525, DALLAS, TX 75208-2312
(214) 960-5681
(214) 960-5681
Mailing address
700 RIDGEFIELD DR, PLANO, TX 75075-8715
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1059947
TX
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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