Clark, Karen A

Clark, Karen A is an individual health care provider with primary practice located at 3330 Joy Lake Rd , Reno NV 89511-8789. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Clark, Karen A can be contacted via phone (775) 223-1775.

Contact Information

Primary practice address
3330 Joy Lake Rd Reno NV 89511-8789
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21088 Oklahoma
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 21088 Oklahoma

Profile Details

NPI number 1174593727
LBN Legal business name Clark, Karen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jun 28th, 2024 - about 6 months 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 1174593727 NPPES
Oklahoma MEDICAID 100102100A

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