Theresa S. Clark is a Registered Dietitian based in Hopkinsville, KY. Theresa S. Clark practices in Hopkinsville, KY and has the professional credentials of MSRD,CDE,LD. The NPI Number for Theresa S. Clark is 1013120948 and holds a License No. KY-0517 (Kentucky).
The current practice location address for Theresa S. Clark is 530 Noel Ave, Hopkinsville, KY and can be reached out via phone at 270-707-0060 and via fax at 270-707-0068. You can also correspond with Theresa S. Clark through the mailing address at 530 NOEL AVE, HOPKINSVILLE, KY - 42240-1386 (mailing address contact number: 270-707-0060).
Identifier | Type | State | Issuer |
---|---|---|---|
38364492 | 01 | KY | TAX ID NO. |
KY-0517 | 01 | KY | LICENSE DIETITIAN |
9000505900 | 05 | KY |
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