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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Popular Providers