Clark, Karen K.

Clark, Karen K. is an individual health care provider with primary practice located at 13000 Bruce B Downs Blvd , Tampa FL 33612-4745. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Clark, Karen K. can be contacted via phone (813) 972-2000.

Contact Information

Primary practice address
13000 Bruce B Downs Blvd Tampa FL 33612-4745
Phone: (813) 972-2000
Fax: (813) 979-3615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 01048900 Indiana

Profile Details

NPI number 1508886797
LBN Legal business name Clark, Karen K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jun 6th, 2011 - about 15 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 1508886797 NPPES
Indiana MEDICAID 200285450

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