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Kristen Clark, OD
NPI 1306134317 · on the registry since 2011
Practice
- Address
- 2435 Village Green Pl
Champaign, IL 61822 - Phone
- (800) 325-7706
- Fax
- (309) 829-8397
- Organisation at this address
- Gailey Eye Clinic, Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-08-05
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 Illinois