| NPI | 1457468969 |
|---|---|
| Doing Business As | CLARK IMMEDIATE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | ROBERT DONALD FRARACCIO CEO 859-745-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: KY 700085) |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2009-11-23 |