- Practice location
- 135 Grove St, Bangor, ME 04401-4007
- Phone
- 207-299-4940
- Fax
- —
- Last updated
- September 22, 2011
Kateryna Vadimovna Clark is a Dietitian, Registered based in Bangor, ME. Kateryna Vadimovna Clark practices in Bangor, ME and has the professional credentials of MS, RD. The NPI Number for Kateryna Vadimovna Clark is 1508149964 and holds a License No. DI952 (ME). The current practice location address for Kateryna Vadimovna Clark is 135 Grove St, Bangor, ME 04401-4007 and can be reached out via phone at 207-299-4940.
Provider Profile Details
- NPI Number
- 1508149964
- Provider Name
- Kateryna Vadimovna Clark
- Credential
- MS, RD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 135 Grove St, Bangor, ME 04401-4007
- Phone Number
- 207-299-4940
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 22, 2011
- Last Update Date
- September 22, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 135 Grove St
Bangor, ME 04401-4007 - City
- Bangor
- State
- Maine
- Zip
- 04401-4007
- Phone Number
- 207-299-4940
Provider Business Mailing Address Details
- Address
- 135 Grove St
Bangor, ME 04401-4007 - City
- Bangor
- State
- ME
- Zip
- 04401-4007
- Phone Number
- 207-299-4940
License Information
- License Number
- DI952
- License State
- ME
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Bangor, ME
View all Dietitian, Registered providers in Bangor →- Ali M Caron, MS, RD, LDDietitian, Registered · NPI 1679904130
- Georgia Clark-Albert, MS RD LD CDEDietitian, Registered · NPI 1740510759
- Heidi S Aston, RDDietitian, Registered · NPI 1447585252
- Lynn M Bolduc, MS, RD, LD, CDEDietitian, Registered · NPI 1902827207
- Mellisa A Bernardini, RDDietitian, Registered · NPI 1255678553
Frequently Asked Questions
What is the NPI number of Ms. Kateryna V Clark, MS, RD?
The NPI number of Ms. Kateryna V Clark, MS, RD is 1508149964. It was assigned on September 22, 2011 and is currently active in the NPPES registry.
What is the specialty of Ms. Kateryna V Clark, MS, RD?
Ms. Kateryna V Clark, MS, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in ME under license number DI952.
Where does Ms. Kateryna V Clark, MS, RD practice?
The practice location is 135 Grove St, Bangor, ME 04401-4007. The office can be reached at 207-299-4940 (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 1508149964 directly on the NPPES registry website.