Clark, Katherine Somers

Clark, Katherine Somers is an sole proprietor health care provider with primary practice located at 2615 E 20Th St , Joplin MO 64804-1039. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Clark, Katherine Somers can be contacted via phone (417) 624-7546.

Contact Information

Primary practice address
2615 E 20Th St Joplin MO 64804-1039
Phone: (417) 624-7546
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 2001013727 Missouri

Profile Details

NPI number 1265908818
LBN Legal business name Clark, Katherine Somers
Credentials MS,RDN,CNSC,LD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2018
Last updated Oct 22nd, 2018 - about 7 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 1265908818 NPPES
Missouri Other 2001013727 LICENSE

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