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Kathryn S Clark, FNP
Family Nurse Practitioner in Springfield, Missouri
NPI 1871609495

Kathryn S Clark is a Family Nurse Practitioner based in Springfield, MO and is specialized in Family. Kathryn S Clark practices in Springfield, MO and has the professional credentials of FNP. The NPI Number for Kathryn S Clark is 1871609495 and holds a License No. 113954 (Missouri).

The current practice location address for Kathryn S Clark is 1235 E Cherokee St, Springfield, MO and can be reached out via phone at 417-820-2000.

Location: 1235 E Cherokee St, Springfield, MO, 65804-2203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871609495
Provider Name
Kathryn S Clark
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1235 E Cherokee St, Springfield, MO, 65804-2203
Phone Number
417-820-2000
Fax Number
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
427479605 05 MO
institution
Provider Business Practice Location Address Details
Address
1235 E Cherokee St
City
Springfield
State
Missouri
Zip
65804-2203
Phone Number
417-820-2000
Fax Number
person
Provider Business Mailing Address Details
Address
1235 E Cherokee St
City
Springfield
State
Missouri
Zip
65804-2203
Phone Number
417-820-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
113954 (Missouri)
Definition
Definition to come...
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