Individual
KRISTYN LYN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2021 HIKES LN, LOUISVILLE, KY 40218-4817
(502) 446-5555
(502) 394-3673
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012305
KY
Other
Enumeration date
05/02/2018
Last updated
04/03/2023
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