MARTY CLARK

PADUCAH, KY
NPI1093473142
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3016751)
Enumeration Date2021-12-06
Last Update Date2021-12-06
Business Address
MARTY CLARK APRN
2501 KENTUCKY AVE
PADUCAH, KY 42003-3813
Phone number: 270-575-2598
Mailing Address
MARTY CLARK APRN
291 KENNETH LN
HICKORY, KY 42051-9558
Phone number: 270-705-4684