Search › Kentucky › 207Q00000X

Marisol Clark, MD

NPI 1578613030 · on the registry since 2007

Practice

Address
1138 Lexington Rd Ste 290
Georgetown, KY 40324
Phone
(502) 863-0721
Fax
(502) 863-6104
Organisation at this address
Kentucky Mso Llc
Kentucky Mso Llc
Kentucky Mso Llc
Kentucky Mso Llc
Allen T Griffin Ii Md Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207QA0401X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-08-17

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