Jason Clark, M.D.
Pathology, Anatomic Pathology & Clinical Pathology in Lexington, KY. Individual provider (NPI-1).
NPI number1508033747
StatusActive
Last updated in NPPESSep 10, 2013
Details
- NPI
- 1508033747
- Entity type
- Individual (NPI-1)
- Name
- Jason Clark
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 15, 2008
- Last updated
- Sep 10, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 41626 | KY | Yes |
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 01929 | NC |
Practice location
290 Big Run RdLexington, KY 40503-2903
Phone 859-278-9513
Mailing address
601 Daniels BrSitka, KY 41255-8925
Phone 606-792-6220
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