IAN CLARK

OWENSBORO, KY
NPI1033960968
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KY  PA3443)
Enumeration Date2024-03-28
Last Update Date2024-12-10
Business Address
IAN CLARK PA
2200 E PARRISH AVE STE 101C
OWENSBORO, KY 42303-1450
Phone number: 270-688-1650
Mailing Address
IAN CLARK PA
PO BOX 23229
OWENSBORO, KY 42304-3229
Phone number: 270-688-1330