MRS. Theresa S. Clark, MSRD,C.D.E., L.D.
NPI #1013120948 in Hopkinsville, Kentucky
Provider Information
- NPI Number
- 1013120948
- Entity Type
- Individual
- Name
- MRS. Theresa S. Clark, MSRD,C.D.E., L.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- MSRD,C.D.E., L.D.
- Enumeration Date
- May 7, 2007
- Last Updated
- Aug 5, 2016
Practice Location
- Address
- 530 NOEL AVE
- City
- Hopkinsville
- State
- Kentucky
- ZIP Code
- 42240-1386
- Phone
- (270) 707-0060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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Organizations
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|---|---|
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