| NPI | 1043650591 |
|---|---|
| Doing Business As | CLARK FAMILY CARE |
| Entity Type | Organization |
| Authorized Contact | BRITTANY UNDERWOOD Credentialing Agent 859-303-8746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: KY 900176) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 363L00000X Nurse Practitioner | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2021-09-02 |