Active NPIIndividual provider

Kathleen M Clark, MSN FNP-C

Nurse Practitioner, Family in Keene, New Hampshire

NPI Number1376013235
Practice location
580 Court St, Keene, NH 03431-1718
Fax
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Last updated
April 20, 2023

Kathleen Margaret Clark is a Nurse Practitioner, Family based in Keene, NH. Kathleen Margaret Clark practices in Keene, NH and has the professional credentials of MSN FNP-C. The NPI Number for Kathleen Margaret Clark is 1376013235 and holds a License No. 101.0134242 (VT). The current practice location address for Kathleen Margaret Clark is 580 Court St, Keene, NH 03431-1718 and can be reached out via phone at 603-354-5400.

Provider Profile Details

NPI Number
1376013235
Provider Name
Kathleen Margaret Clark
Credential
MSN FNP-C
Provider Entity Type
Individual
Gender
Female
Address
580 Court St, Keene, NH 03431-1718
Phone Number
603-354-5400
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
December 4, 2018
Last Update Date
April 20, 2023
Certification Date
April 20, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
580 Court St
Keene, NH 03431-1718
City
Keene
Zip
03431-1718
Phone Number
603-354-5400
Keene, NH 03431Get directions →

Provider Business Mailing Address Details

Address
Po Box 810
Hanover, NH 03755-0810
City
Hanover
State
NH
Zip
03755-0810
Phone Number
603-308-1467

License Information

License Number (1)
101.0134242
License State (1)
VT
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
1376013235
License State (2)
NH
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · 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 Kathleen M Clark, MSN FNP-C?

The NPI number of Kathleen M Clark, MSN FNP-C is 1376013235. It was assigned on December 4, 2018 and is currently active in the NPPES registry.

What is the specialty of Kathleen M Clark, MSN FNP-C?

Kathleen M Clark, MSN FNP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in VT under license number 101.0134242.

Where does Kathleen M Clark, MSN FNP-C practice?

The practice location is 580 Court St, Keene, NH 03431-1718. The office can be reached at 603-354-5400 (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 1376013235 directly on the NPPES registry website.

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