Clark, Kristen Ann
Clark, Kristen Ann is an individual health care provider with primary practice located at 15 Hospital Center Blvd Ste 1 , Hilton Head Island SC 29926-2760. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Clark, Kristen Ann can be contacted via phone (843) 689-9200.Contact Information
Primary practice address
15 Hospital Center Blvd Ste 1
Hilton Head Island SC 29926-2760
Phone: (843) 689-9200
Fax: (843) 689-9200
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | ||
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
NPI number | 1245769850 |
---|---|
LBN Legal business name | Clark, Kristen Ann |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 7th, 2017 |
Last updated | Jul 21st, 2022 - about 3 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 | 1245769850 | NPPES |
South Carolina | Other | MPA2748 | SC LICENSE |
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