Clark, Kristin

Clark, Kristin is an individual health care provider with primary practice located at 5018 Dorsey Hall Dr Suite 104, Ellicott City MD 21042-7855. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Clark, Kristin can be contacted via phone (410) 730-8288.

Contact Information

Primary practice address
5018 Dorsey Hall Dr Suite 104 Ellicott City MD 21042-7855
Fax: (888) 235-9533
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0053966 Maryland

Profile Details

NPI number 1932177508
LBN Legal business name Clark, Kristin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Mar 30th, 2012 - about 12 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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