Clark, Kristen Marie

Clark, Kristen Marie is an individual health care provider with primary practice located at 1 Childrens Pl , Saint Louis MO 63110-1002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Clark, Kristen Marie can be contacted via phone (314) 319-7763.

Contact Information

Primary practice address
1 Childrens Pl Saint Louis MO 63110-1002
Phone: (314) 319-7763
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 104422085 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 2020021035 Missouri

Profile Details

NPI number 1699386417
LBN Legal business name Clark, Kristen Marie
Credentials NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2020
Last updated Jun 13th, 2024 - about 6 months 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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