Individual
KATHERINE ELIZABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
764 PATRIOT PKWY APT 203, ROCK HILL, SC 29730-2750
(518) 960-0686
Mailing address
764 PATRIOT PKWY APT 203, ROCK HILL, SC 29730-2750
(518) 960-0686
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN-19780
HI
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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