Clark, Kathleen Marie

Clark, Kathleen Marie is an individual health care provider with primary practice located at 1250 Bellflower Blvd Shs, Long Beach CA 90840-0201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Clark, Kathleen Marie can be contacted via phone (562) 985-5146.

Contact Information

Primary practice address
1250 Bellflower Blvd Shs Long Beach CA 90840-0201
Phone: (562) 985-5146
Fax: (562) 985-8404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 16395 California

Profile Details

NPI number 1083774582
LBN Legal business name Clark, Kathleen Marie
Credentials MSN FNP C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jul 8th, 2007 - 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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