Dr. Kathryn Clark, M.B., B.Ch., B.A.O.
Anesthesiology in Rochester, MN. Individual provider (NPI-1).
NPI number1861978488
StatusActive
Last updated in NPPESJan 19, 2024
Details
- NPI
- 1861978488
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kathryn Clark
- Credential
- M.B., B.Ch., B.A.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2018
- Certification date
- Jan 19, 2024
- Last updated
- Jan 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 66488 | MN | Yes |
| 207R00000X | Internal Medicine | 29125 | MN |
Practice location
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
Mailing address
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
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