Alicia H Clark APRN

NPI 1801898440 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1801898440
Gender Female
Enumeration Date 08/12/2005
Last Updated 02/09/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
518 WEST GUM STREET
MARION KY, 42064-1516, US
Phone (270) 965-5238
Fax (270) 965-9015
Business Location
PO BOX 559
MARION KY, 42064-0559, US
Phone (270) 965-5238
Fax (270) 965-9015
Toxanomy
Taxonomy Code 363LF0000X
License State Kentucky
License Number 3004261
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According to our database, Alicia H Clark APRN NPI is 1801898440, taxonomy code is 363LF0000X and license number is 3004261, license state is located at Kentucky. Alicia H Clark APRN physically located at 518 West Gum Street, Marion KY, 42064-1516. NPI Number Alicia H Clark APRN has the Individual type.

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1801898440 NPI number is provided on an as is basis without warranty of any kind. 1801898440 is maintained by the National Plan & Provider Enumeration System. The contents of Alicia H Clark APRN are for informational purposes only.