Active NPIIndividual provider

Kara M Clark, PA-C

Physician Assistant in Brookfield, Connecticut

NPI Number1609247444
Practice location
304 Federal RD, Suite 201, Brookfield, CT 06804-2418
Fax
203-740-8250
Last updated
November 23, 2015

Kara M Clark is a Physician Assistant based in Brookfield, CT. Kara M Clark practices in Brookfield, CT and has the professional credentials of PA-C. The NPI Number for Kara M Clark is 1609247444 and holds a License No. 003391 (CT). The current practice location address for Kara M Clark is 304 Federal RD, Suite 201, Brookfield, CT 06804-2418 and can be reached out via phone at 203-740-2593 and via fax at 203-740-8250.

Provider Profile Details

NPI Number
1609247444
Provider Name
Kara M Clark
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
304 Federal RD, Suite 201, Brookfield, CT 06804-2418
Phone Number
203-740-2593
Fax Number
203-740-8250
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
October 19, 2015
Last Update Date
November 23, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
304 Federal RD
Suite 201
Brookfield, CT 06804-2418
Zip
06804-2418
Phone Number
203-740-2593
Fax Number
203-740-8250
Brookfield, CT 06804Get directions →

Provider Business Mailing Address Details

Address
124 Wynwood Dr
New Milford, CT 06776-4231
City
New Milford
State
CT
Zip
06776-4231
Phone Number
203-740-2593
Fax Number
203-740-8250

License Information

License Number (1)
003391
License State (1)
CT
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
003391
License State (2)
CT
Taxonomy (2)
Physician Assistant · 363A00000X · 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 Kara M Clark, PA-C?

The NPI number of Kara M Clark, PA-C is 1609247444. It was assigned on October 19, 2015 and is currently active in the NPPES registry.

What is the specialty of Kara M Clark, PA-C?

Kara M Clark, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 003391.

Where does Kara M Clark, PA-C practice?

The practice location is 304 Federal RD, Suite 201, Brookfield, CT 06804-2418. The office can be reached at 203-740-2593 (phone) or 203-740-8250 (fax).

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 1609247444 directly on the NPPES registry website.

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