Clark, Carmen Michelle

Clark, Carmen Michelle is an sole proprietor health care provider with primary practice located at 7302 Meadow Rd , Crestwood KY 40014-9453. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Clark, Carmen Michelle can be contacted via phone (502) 241-5159.

Contact Information

Primary practice address
7302 Meadow Rd Crestwood KY 40014-9453
Phone: (502) 241-5159
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X Kentucky

Profile Details

NPI number 1124463450
LBN Legal business name Clark, Carmen Michelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2013
Last updated Apr 30th, 2013 - about 12 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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