K. Clark Family Medical Pllc

LBN: K. Clark Family Medical Pllc
K. Clark Family Medical Pllc is an health care organization with primary practice located at 19938 E Carriage Way , Queen Creek AZ 85142-4907. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. K. Clark Family Medical Pllc can be contacted via phone (480) 518-5251, or through Clark, Kailynn via phone (480) 518-5251.

Contact Information

Primary practice address
19938 E Carriage Way Queen Creek AZ 85142-4907
Phone: (480) 518-5251
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark, Kailynn Nurse Practitioner (NP)
Phone: (480) 518-5251

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1700566577
LBN Legal business name K. Clark Family Medical Pllc
DBA Doing business as
Authorized official Clark, Kailynn Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2023
Last updated May 11th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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