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Kristin Clark, PA-C
NPI 1528291069 · on the registry since 2009 · sole proprietor
Practice
- Address
- 14010 Smoketown Rd Ste 117
Woodbridge, VA 22192 - Phone
- (718) 920-6656
- Organisation at this address
- Potomac Podiatry Pllc
Sonria Dental Care Pllc
Tranquil Anesthesia Group Llc
Nmg Affiliate Practice I, Llc
Nmg Affiliate Practice I, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 21
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-04-06
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 Virginia