Clark, Ann L

Clark, Ann L is an individual health care provider with primary practice located at 2211 Mayfair Dr Suite 305, Owensboro KY 42301-4568. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Clark, Ann L can be contacted via phone (270) 688-2018.

Contact Information

Primary practice address
2211 Mayfair Dr Suite 305 Owensboro KY 42301-4568
Phone: (270) 688-2018
Fax: (270) 688-2029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 28017 Kentucky

Profile Details

NPI number 1487748968
LBN Legal business name Clark, Ann L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Apr 7th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487748968 NPPES
Kentucky Other K030861 MEDICARE- NMFM SPEC.
Kentucky MEDICAID 200036070 MEDICARE- NMFM SPEC.
Kentucky Other 000000759531 MEDICARE- NMFM SPEC.
Kentucky MEDICAID 64036437 MEDICARE- NMFM SPEC.

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