Clark, Kirsten

Clark, Kirsten is an individual health care provider with primary practice located at 20031 Carlysle St Suite 3, Dearborn MI 48124-3803. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Clark, Kirsten can be contacted via phone (313) 277-9170.

Contact Information

Primary practice address
20031 Carlysle St Suite 3 Dearborn MI 48124-3803
Phone: (313) 277-9170
Fax: (313) 277-9176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 5501004619 Michigan

Profile Details

NPI number 1821159690
LBN Legal business name Clark, Kirsten
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 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.

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