SearchOklahoma163W00000X

Caitlyn Clark

NPI 1497118061 · on the registry since 2016 · sole proprietor

Practice

Address
114 Fairview Ave
Ponca City, OK 74601
Phone
(580) 401-0385

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-04-01

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 Oklahoma