Clark, Kristin
Clark, Kristin is an individual health care provider with primary practice located at 5018 Dorsey Hall Dr Suite 104, Ellicott City MD 21042-7855. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Clark, Kristin can be contacted via phone (410) 730-8288.Contact Information
Primary practice address
5018 Dorsey Hall Dr Suite 104
Ellicott City MD 21042-7855
Phone: (410) 730-8288
Fax: (888) 235-9533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D0053966 | Maryland |
Profile Details
| NPI number | 1932177508 |
|---|---|
| LBN Legal business name | Clark, Kristin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Mar 30th, 2012 - about 14 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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