Irish-Clardy, Katherine A

Irish-Clardy, Katherine A is an individual health care provider with primary practice located at 1301 S E St , Fort Smith AR 72901-4716. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Irish-Clardy, Katherine A can be contacted via phone (479) 785-2431.

Contact Information

Primary practice address
1301 S E St Fort Smith AR 72901-4716
Phone: (479) 785-2431
Fax: (479) 494-7787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-2393 Arkansas

Profile Details

NPI number 1679577381
LBN Legal business name Irish-Clardy, Katherine A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Mar 7th, 2023 - 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 1679577381 NPPES
Other 7889253 AETNA
MEDICAID 143782001 AETNA
Other 2087945 AETNA
Other 5L856 AETNA
MEDICAID 08172336 AETNA
Other 19334000001 AETNA
Other 9642236001 AETNA
Other P00127019 AETNA
MEDICAID 100000610A AETNA
MEDICAID 1646351 AETNA

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