Clark, Kathryn Gore

Clark, Kathryn Gore is an sole proprietor health care provider with primary practice located at 301 Andrews Avenue Edis, Fort Rucker AL 36362. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Clark, Kathryn Gore can be contacted via phone (808) 772-1393.

Contact Information

Primary practice address
301 Andrews Avenue Edis Fort Rucker AL 36362
Phone: (808) 772-1393
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP 955 Hawaii
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2820 Alabama

Profile Details

NPI number 1760606040
LBN Legal business name Clark, Kathryn Gore
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
Last updated Mar 19th, 2009 - about 17 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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