Clark, Katherine

Clark, Katherine is an individual health care provider with primary practice located at 650 Clark Way , Palo Alto CA 94304. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Clark, Katherine can be contacted via phone (650) 688-3644.

Contact Information

Primary practice address
650 Clark Way Palo Alto CA 94304
Phone: (650) 688-3644
Fax: (650) 688-3669
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 5005585 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5005585 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 23185 California

Profile Details

NPI number 1841557428
LBN Legal business name Clark, Katherine
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2012
Last updated Oct 28th, 2013 - about 13 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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