Clark, Kerry A
Clark, Kerry A is an sole proprietor health care provider with primary practice located at 2 Dudley St Ste 200, Providence RI 02905-3236. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clark, Kerry A can be contacted via phone (401) 457-1540.Contact Information
Primary practice address
2 Dudley St Ste 200
Providence RI 02905-3236
Phone: (401) 457-1540
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN00233 | Rhode Island |
Profile Details
| NPI number | 1861436362 |
|---|---|
| LBN Legal business name | Clark, Kerry A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Mar 17th, 2022 - about 2 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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