Haley Clark
Physician Assistant in Stanford, KY. Individual provider (NPI-1).
NPI number1326417023
StatusActive
Last updated in NPPESJun 25, 2019
Details
- NPI
- 1326417023
- Entity type
- Individual (NPI-1)
- Name
- Haley Clark
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2015
- Last updated
- Jun 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | TC419 | KY | Yes |
Practice location
100 Jay StStanford, KY 40484-7511
Phone 606-365-5746
Mailing address
436 Logan Creek DrStanford, KY 40484-9524
Phone 859-324-5746
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Other Physician Assistant providers in Stanford, KY
- Melissa F Day, PA-CNPI 1619214913
- Bethany Lee, PA-CNPI 1861883290
- Rebecca G Rankin, P.A.-CNPI 1144225111
- Bria M Thompson, PA-CNPI 1215464466
All 5 Physician Assistant providers in Stanford · All 178 providers in Stanford
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