Search › Kentucky › 363LF0000X
Shana Clark
NPI 1710407218 · on the registry since 2017
Practice
- Address
- 6101 Terry Rd
Louisville, KY 40258 - Phone
- (502) 807-5943
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
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