Search › Kentucky › 222Q00000X
Carmen Clark
NPI 1124463450 · on the registry since 2013 · sole proprietor
Practice
- Address
- 7302 Meadow Rd
Crestwood, KY 40014 - Phone
- (502) 241-5159
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-04-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky