Active NPIIndividual provider

Kristina K Clark

Physical Therapist, Geriatrics in Orono, Maine

NPI Number1164706586
Practice location
117 Bennoch RD, Orono, ME 04473-3620
Fax
—
Last updated
December 7, 2016

Kristina Kehoskie Clark is a Physical Therapist, Geriatrics based in Orono, ME. Kristina Kehoskie Clark practices in Orono, ME. The NPI Number for Kristina Kehoskie Clark is 1164706586 and holds a License No. 039523 (NY). The current practice location address for Kristina Kehoskie Clark is 117 Bennoch RD, Orono, ME 04473-3620 and can be reached out via phone at 207-866-0532.

Provider Profile Details

NPI Number
1164706586
Provider Name
Kristina Kehoskie Clark
Provider Entity Type
Individual
Gender
Female
Address
117 Bennoch RD, Orono, ME 04473-3620
Phone Number
207-866-0532
Primary Taxonomy
Physical Therapist, Geriatrics · 2251G0304X
Sole Proprietor
No
Provider Enumeration Date
October 4, 2011
Last Update Date
December 7, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
117 Bennoch RD
Orono, ME 04473-3620
City
Orono
State
Maine
Zip
04473-3620
Phone Number
207-866-0532
Orono, ME 04473Get directions →

Provider Business Mailing Address Details

Address
185 Old Military RD
Lake Placid, NY 12946-1939
City
Lake Placid
State
NY
Zip
12946-1939

License Information

License Number
039523
License State
NY
Taxonomy
Physical Therapist, Geriatrics · 2251G0304X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kristina K Clark?

The NPI number of Kristina K Clark is 1164706586. It was assigned on October 4, 2011 and is currently active in the NPPES registry.

What is the specialty of Kristina K Clark?

Kristina K Clark is registered under the primary taxonomy Physical Therapist, Geriatrics (code 2251G0304X), licensed in NY under license number 039523.

Where does Kristina K Clark practice?

The practice location is 117 Bennoch RD, Orono, ME 04473-3620. The office can be reached at 207-866-0532 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164706586 directly on the NPPES registry website.

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