person
Krista M Clark
Prosthetics Case Management in Old Hickory, Tennessee
NPI 1073687224

Krista M Clark is a Prosthetics Case Management based in Old Hickory, TN and is specialized in Prosthetics Case Management. Krista M Clark practices in Old Hickory, TN. The NPI Number for Krista M Clark is 1073687224 and holds a License No. (Tennessee).

The current practice location address for Krista M Clark is 810 Hadley Ave, Old Hickory, TN and can be reached out via phone at 615-847-8000 and via fax at 615-847-4693.

Location: 810 Hadley Ave, Old Hickory, TN, 37138-3121
person
Provider Profile Details
NPI Number
1073687224
Provider Name
Krista M Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
810 Hadley Ave, Old Hickory, TN, 37138-3121
Phone Number
615-847-8000
Fax Number
615-847-4693
Provider Enumeration Date
11/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4018836 01 TN BCBS OF TN
1454254 05 TN
institution
Provider Business Practice Location Address Details
Address
810 Hadley Ave
City
State
Zip
37138-3121
Phone Number
615-847-8000
Fax Number
615-847-4693
person
Provider Business Mailing Address Details
Address
810 Hadley Ave
City
State
Zip
37138-3121
Phone Number
615-847-8000
Fax Number
615-847-4693
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
()
Definition
Definition to come...
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