Baysah Clark, Kolu S.

Baysah Clark, Kolu S. is an individual health care provider with primary practice located at 455 Toll Gate Rd , Warwick RI 02886-2759. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Baysah Clark, Kolu S. can be contacted via phone (401) 737-7010.

Contact Information

Primary practice address
455 Toll Gate Rd Warwick RI 02886-2759
Phone: (401) 737-7010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN2269378 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN00086 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X RN2269378 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN00086 Rhode Island

Profile Details

NPI number 1336535624
LBN Legal business name Baysah Clark, Kolu S.
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2015
Last updated Dec 21st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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