Search › Florida › 183500000X
Kathy Clark
NPI 1861762361 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1063 N Toledo Blade Blvd
North Port, FL 34288 - Phone
- (941) 429-6174
- Fax
- (941) 429-8517
- Organisation at this address
- Walgreen Co.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-12-31
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 Florida