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1063450377
KELLY J CLARK
LOUISVILLE, KY
NPI
1063450377
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MA 81665)
Enumeration Date
2006-06-02
Last Update Date
2007-07-08
Business Address
KELLY J CLARK M.D.
3430 NEWBURG RD LOUISVILLE BEHAVIORAL SUITE 212
LOUISVILLE, KY 40218-2497
Phone number: 502-333-0160
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Mailing Address
KELLY J CLARK M.D.
PO BOX 86
GLENVIEW, KY 40025-0086
Phone number: 502-333-0160
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