Clark, Kristin L.
Clark, Kristin L. is an individual health care provider with primary practice located at 1821 S Webster Ave , Green Bay WI 54301-2253. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Clark, Kristin L. can be contacted via phone (920) 496-4700.Contact Information
Primary practice address
1821 S Webster Ave
Green Bay WI 54301-2253
Phone: (920) 496-4700
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 46761-020 | Wisconsin |
Profile Details
NPI number | 1710982756 |
---|---|
LBN Legal business name | Clark, Kristin L. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2005 |
Last updated | Nov 26th, 2019 - about 6 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 | 1710982756 | NPPES |
Wisconsin | MEDICAID | 34577900 |
Popular Providers
-
Hale, John M
2845 Greenbrier Rd #430, Green Bay WI 54311-6519 -
Jenison, Eric L.
704 S Webster Ave Suite 100, Green Bay WI 54301-3528 -
Retzke, Jason Douglas
704 S Webster Ave , Green Bay WI 54301-3528 -
Anderson, Sara Lynn
1715 Dousman St , Green Bay WI 54303-3211 -
Dobbins, Brian Dale
2890 Lineville Rd , Green Bay WI 54313-7202 -
Stevens, Erin Elizabeth
835 S Van Buren St , Green Bay WI 54301-3526 -
Kusiv, Kathlene A
1537 Park Pl Ste 200 , Green Bay WI 54304-1974 -
Southwick, Robert David
2253 W Mason St , Green Bay WI 54303-4706