Clark, Kathryn M

Clark, Kathryn M is an sole proprietor health care provider with primary practice located at 221 Island Ave Suite 101, San Diego CA 92101-6936. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Clark, Kathryn M can be contacted via phone (619) 255-8855.

Contact Information

Primary practice address
221 Island Ave Suite 101 San Diego CA 92101-6936
Phone: (619) 255-8855
Fax: (858) 876-1944
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1992745954
LBN Legal business name Clark, Kathryn M
Credentials MPH, RD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Oct 2nd, 2008 - about 18 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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