Clark, Jeffery Darrell

Clark, Jeffery Darrell is an individual health care provider with primary practice located at 911 Bypass Rd , Pikeville KY 41501-1689. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Clark, Jeffery Darrell can be contacted via phone (606) 218-3500.

Contact Information

Primary practice address
911 Bypass Rd Pikeville KY 41501-1689
Phone: (606) 218-3500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1530A Kentucky

Profile Details

NPI number 1972521722
LBN Legal business name Clark, Jeffery Darrell
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jun 20th, 2008 - about 17 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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