Clark, Kieran
Clark, Kieran is an individual health care provider with primary practice located at 20601 E Dixie Hwy Ste 300 , Aventura FL 33180-1542. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Clark, Kieran can be contacted via phone (305) 933-5942.Contact Information
Primary practice address
20601 E Dixie Hwy Ste 300
Aventura FL 33180-1542
Phone: (305) 933-5942
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X |
Profile Details
| NPI number | 1326158288 |
|---|---|
| LBN Legal business name | Clark, Kieran |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326158288 | NPPES |
| Florida | Other | PTA14682 | LICENSE # |
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