Clark, Kristen Ann

Clark, Kristen Ann is an individual health care provider with primary practice located at 15 Hospital Center Blvd Ste 1 , Hilton Head Island SC 29926-2760. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Clark, Kristen Ann can be contacted via phone (843) 689-9200.

Contact Information

Primary practice address
15 Hospital Center Blvd Ste 1 Hilton Head Island SC 29926-2760
Phone: (843) 689-9200
Fax: (843) 689-9200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1245769850
LBN Legal business name Clark, Kristen Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2017
Last updated Jul 21st, 2022 - about 4 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 1245769850 NPPES
South Carolina Other MPA2748 SC LICENSE

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