Clark, Nancy S

Clark, Nancy S is an individual health care provider with primary practice located at 401 E Chestnut St Unit 710 , Louisville KY 40202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as her primary health care specialty. Clark, Nancy S can be contacted via phone (502) 583-8303.

Contact Information

Primary practice address
401 E Chestnut St Unit 710 Louisville KY 40202
Phone: (502) 583-8303
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 50539 Kentucky

Profile Details

NPI number 1114986023
LBN Legal business name Clark, Nancy S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jan 25th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114986023 NPPES
Kentucky MEDICAID 7100468230
Kentucky Other 95QW
Kentucky MEDICAID 413914300
Kentucky Other 88260001

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