KERRY S CLARK

WINFIELD, AL
NPI1134754948
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  1-113412)
Enumeration Date2020-03-12
Last Update Date2023-05-05
Business Address
KERRY S CLARK CRNP
200 CARRAWAY DR STE B1
WINFIELD, AL 35594-5073
Phone number: 205-487-7888
Mailing Address
KERRY S CLARK CRNP
5947 HIGHWAY 269
PARRISH, AL 35580-3847
Phone number: 205-686-5113