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Marisol C Clark, MD
Family Medicine Physician in Georgetown, Kentucky
NPI 1578613030

Marisol C Clark is a Family Medicine Physician based in Lexington, KY. Marisol C Clark practices in Georgetown, KY and has the professional credentials of MD. The NPI Number for Marisol C Clark is 1578613030 and holds a License No. 49101 (Kentucky).

The current practice location address for Marisol C Clark is 1138 Lexington Rd Ste 290, Georgetown, KY and can be reached out via phone at 502-863-0721 and via fax at 502-863-6104. You can also correspond with Marisol C Clark through the mailing address at 1221 S BROADWAY, LEXINGTON, KY - 40504-2701 (mailing address contact number: 859-258-6200).

Location: 1138 Lexington Rd Ste 290, Georgetown, KY, 40504-2701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578613030
Provider Name
Marisol C Clark
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1138 Lexington Rd Ste 290, Georgetown, KY, 40504-2701
Phone Number
502-863-0721
Fax Number
502-863-6104
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100443440 05 KY
institution
Provider Business Practice Location Address Details
Address
1138 Lexington Rd Ste 290
City
Georgetown
State
Kentucky
Zip
40324-9672
Phone Number
502-863-0721
Fax Number
502-863-6104
person
Provider Business Mailing Address Details
Address
1138 Lexington Rd Ste 290
City
Georgetown
State
Kentucky
Zip
40324-9672
Phone Number
502-863-0721
Fax Number
502-863-6104
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
49101 (Kentucky)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
49101 (Kentucky)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
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