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Katrina Clark

NPI 1588251037 · on the registry since 2020

Practice

Address
25231 Cuevas Delisle Rd
Pass Christian, MS 39571
Phone
(678) 516-5303

Registry record

Primary taxonomy
163WE0003X
163WE0003X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-12-30

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 Mississippi