Clark, Katheryn Elisabeth

Clark, Katheryn Elisabeth is an individual health care provider with primary practice located at 330 Barclay Ave Ne Ste 304 , Grand Rapids MI 49503-2527. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Clark, Katheryn Elisabeth can be contacted via phone (616) 391-2160.

Contact Information

Primary practice address
330 Barclay Ave Ne Ste 304 Grand Rapids MI 49503-2527
Phone: (616) 391-2160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 4704328067 Michigan

Profile Details

NPI number 1417489931
LBN Legal business name Clark, Katheryn Elisabeth
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2017
Last updated Sep 2nd, 2021 - about 4 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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