Active NPIIndividual provider

Dr. Kristen M Clark, MD

Psychiatry & Neurology, Psychiatry in La Crosse, Wisconsin

NPI Number1821730623
Practice location
1836 South Ave, La Crosse, WI 54601-5429
Fax
—
Last updated
July 15, 2026

Kristen Moriah Clark is a Psychiatry & Neurology, Psychiatry based in La Crosse, WI. Kristen Moriah Clark practices in La Crosse, WI and has the professional credentials of MD. The NPI Number for Kristen Moriah Clark is 1821730623 and holds a License No. 86790-20 (WI). The current practice location address for Kristen Moriah Clark is 1836 South Ave, La Crosse, WI 54601-5429 and can be reached out via phone at 608-782-7300.

Provider Profile Details

NPI Number
1821730623
Provider Name
Kristen Moriah Clark
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1836 South Ave, La Crosse, WI 54601-5429
Phone Number
608-782-7300
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
No
Provider Enumeration Date
April 12, 2022
Last Update Date
July 15, 2026
Certification Date
July 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1836 South Ave
La Crosse, WI 54601-5429
Zip
54601-5429
Phone Number
608-782-7300
La Crosse, WI 54601Get directions →

Provider Business Mailing Address Details

Address
1836 South Ave
La Crosse, WI 54601-5429
City
La Crosse
State
WI
Zip
54601-5429
Phone Number
608-782-7300

License Information

License Number (1)
86790-20
License State (1)
WI
Taxonomy (1)
Psychiatry & Neurology, Psychiatry · 2084P0800X · 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 Dr. Kristen M Clark, MD?

The NPI number of Dr. Kristen M Clark, MD is 1821730623. It was assigned on April 12, 2022 and is currently active in the NPPES registry.

What is the specialty of Dr. Kristen M Clark, MD?

Dr. Kristen M Clark, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in WI under license number 86790-20.

Where does Dr. Kristen M Clark, MD practice?

The practice location is 1836 South Ave, La Crosse, WI 54601-5429. The office can be reached at 608-782-7300 (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 1821730623 directly on the NPPES registry website.

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