Clark, Kristyn

Clark, Kristyn is an individual health care provider with primary practice located at 750 N Freedom Blvd , Provo UT 84601-1677. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Clark, Kristyn can be contacted via phone (801) 373-4760.

Contact Information

Primary practice address
750 N Freedom Blvd Provo UT 84601-1677
Phone: (801) 373-4760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1437499050
LBN Legal business name Clark, Kristyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2013
Last updated Feb 19th, 2013 - about 13 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.

Request for update

Popular Providers