Clark, Daphne Ann
Clark, Daphne Ann is an individual health care provider with primary practice located at 1900 N Highway 27 , Whitley City KY 42653-4119. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clark, Daphne Ann can be contacted via phone (606) 376-3326.Contact Information
Primary practice address
1900 N Highway 27
Whitley City KY 42653-4119
Phone: (606) 376-3326
Fax: (888) 960-2041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3006424 | Kentucky |
Profile Details
| NPI number | 1275859761 |
|---|---|
| LBN Legal business name | Clark, Daphne Ann |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2010 |
| Last updated | Aug 3rd, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275859761 | NPPES |
| Kentucky | MEDICAID | 7100111350 | |
| Kentucky | Other | 12090990 |
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