Clark, Kathy Ann

Clark, Kathy Ann is an sole proprietor health care provider with primary practice located at 7772 Williamson Ln , Canal Winchester OH 43110-8524. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Clark, Kathy Ann can be contacted via phone (614) 837-8350.

Contact Information

Primary practice address
7772 Williamson Ln Canal Winchester OH 43110-8524
Phone: (614) 837-8350
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN.065411 Ohio

Profile Details

NPI number 1306062435
LBN Legal business name Clark, Kathy Ann
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2007
Last updated Jul 9th, 2007 - about 18 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 1306062435 NPPES
Ohio MEDICAID 2117533

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