Clark, Adrienne Renee

Clark, Adrienne Renee is an sole proprietor health care provider with primary practice located at 2312 S Dixon Rd Suite 250, Kokomo IN 46902-6401. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Clark, Adrienne Renee can be contacted via phone (765) 455-2122.

Contact Information

Primary practice address
2312 S Dixon Rd Suite 250 Kokomo IN 46902-6401
Phone: (765) 455-2122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 36001446A Indiana

Profile Details

NPI number 1386913879
LBN Legal business name Clark, Adrienne Renee
Credentials ATC/LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2011
Last updated Dec 29th, 2011 - about 13 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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