Clark, Kathryn M
Clark, Kathryn M is an sole proprietor health care provider with primary practice located at 221 Island Ave Suite 101, San Diego CA 92101-6936. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Clark, Kathryn M can be contacted via phone (619) 255-8855.Contact Information
Primary practice address
221 Island Ave Suite 101
San Diego CA 92101-6936
Phone: (619) 255-8855
Fax: (858) 876-1944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X |
Profile Details
| NPI number | 1992745954 |
|---|---|
| LBN Legal business name | Clark, Kathryn M |
| Credentials | MPH, RD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Oct 2nd, 2008 - about 16 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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