Natalie Marie Clark
Student in an Organized Health Care Education/Training Program in Louisville, KY. Individual provider (NPI-1).
NPI number1669979167
StatusActive
Last updated in NPPESApr 11, 2018
Details
- NPI
- 1669979167
- Entity type
- Individual (NPI-1)
- Name
- Miss Natalie Marie Clark
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2018
- Last updated
- Apr 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | KY | Yes |
Practice location
500 S Preston St Rm 305Louisville, KY 40202-1702
Phone 502-852-8696
Mailing address
500 S Preston St Rm 305Louisville, KY 40202-1702
Phone 502-852-8696
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