Clark, Kristi M

Clark, Kristi M is an individual health care provider with primary practice located at 313 Maccorkle Ave Sw , South Charleston WV 25303-1263. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Clark, Kristi M can be contacted via phone (304) 744-2300.

Contact Information

Primary practice address
313 Maccorkle Ave Sw South Charleston WV 25303-1263
Phone: (304) 744-2300
Fax: (304) 744-8195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A-0211 West Virginia
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A.01642 Ohio

Profile Details

NPI number 1376973834
LBN Legal business name Clark, Kristi M
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2013
Last updated Aug 7th, 2014 - about 10 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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