Clark, Dorie L

Clark, Dorie L is an individual health care provider with primary practice located at 1351 Newtown Pike , Lexington KY 40511-1275. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Clark, Dorie L can be contacted via phone (859) 253-1686.

Contact Information

Primary practice address
1351 Newtown Pike Lexington KY 40511-1275
Phone: (859) 253-1686
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 1131618 Kentucky

Profile Details

NPI number 1336491950
LBN Legal business name Clark, Dorie L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2012
Last updated Oct 5th, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336491950 NPPES
Kentucky MEDICAID 1790731081

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