Clark, Keri
Clark, Keri is an individual health care provider with primary practice located at 6165 Nw 86Th St Ste 200 , Johnston IA 50131-2270. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clark, Keri can be contacted via phone (515) 316-9720.Contact Information
Primary practice address
6165 Nw 86Th St Ste 200
Johnston IA 50131-2270
Phone: (515) 316-9720
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 05867 | Iowa |
Profile Details
| NPI number | 1376624650 |
|---|---|
| LBN Legal business name | Clark, Keri |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Jul 23rd, 2020 - about 6 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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