Coburn-Clark, Karri J
Coburn-Clark, Karri J is an individual health care provider with primary practice located at 111 Doctors Drive , Frankfort KY 40601-9393. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Coburn-Clark, Karri J can be contacted via phone (859) 253-1686.Contact Information
Primary practice address
111 Doctors Drive
Frankfort KY 40601-9393
Phone: (859) 253-1686
Fax: (859) 254-2743
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1592 | Kentucky |
Profile Details
| NPI number | 1851449219 |
|---|---|
| LBN Legal business name | Coburn-Clark, Karri J |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1851449219 | NPPES |
| Kentucky | MEDICAID | 30615058 |
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