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Search › California › 172V00000X

Kacy Clark

NPI 1255178927 · on the registry since 2024

Practice

Address
1201 Shaffer Rd
Building 1, Suite A
Santa Cruz, CA 95060
Phone
(831) 420-0120
Organisation at this address
Front St. Inc.
Front St. Administrative Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
36

Registry record

Primary taxonomy
172V00000X
172V00000X
Sex
Female
Record last updated
2024-07-10

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 California