person
Dr. Kathy S Clark, MD
Diagnostic Radiology Physician in Indianapolis, Indiana
NPI 1952304701

Kathy S Clark is a Diagnostic Radiology Physician based in Indianapolis, IN and is specialized in Diagnostic Radiology. Kathy S Clark practices in Indianapolis, IN and has the professional credentials of MD. The NPI Number for Kathy S Clark is 1952304701 and holds a License No. 01036050A (Indiana).

The current practice location address for Kathy S Clark is 5901 Technology Center Dr, Indianapolis, IN and can be reached out via phone at 317-328-5050 and via fax at 317-715-9965. You can also correspond with Kathy S Clark through the mailing address at 5901 TECHNOLOGY CENTER DR, INDIANAPOLIS, IN - 46278-6013 (mailing address contact number: 317-328-5050).

Location: 5901 Technology Center Dr, Indianapolis, IN, 46278-6013
person
Provider Profile Details
NPI Number
1952304701
Provider Name
Kathy S Clark
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5901 Technology Center Dr, Indianapolis, IN, 46278-6013
Phone Number
317-328-5050
Fax Number
317-715-9965
Provider Enumeration Date
05/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000214716 01 IN ANTHEM-351158723
300128808 01 IN RR MEDICARE-351158723
000000492338 01 IN ANTHEM 203778927
100348870 05 IN
085331 01 IN HEALTH ALLIANCE-351158723
Q0085630 01 IN CMOSHO351158723-352047427
011838 01 IN SIHO-351158723
institution
Provider Business Practice Location Address Details
Address
5901 Technology Center Dr
City
State
Zip
46278-6013
Phone Number
317-328-5050
Fax Number
317-715-9965
person
Provider Business Mailing Address Details
Address
5901 Technology Center Dr
City
State
Zip
46278-6013
Phone Number
317-328-5050
Fax Number
317-715-9965
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
01036050A (Indiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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