Krista M Clark
NPI #1073687224 in Old Hickory, Tennessee
Provider Information
- NPI Number
- 1073687224
- Entity Type
- Individual
- Name
- Krista M Clark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist - Prosthetics Case Management
- Enumeration Date
- Nov 20, 2006
- Last Updated
- Dec 5, 2007
Practice Location
- Address
- 810 HADLEY AVE
- City
- Old Hickory
- State
- Tennessee
- ZIP Code
- 37138-3121
- Phone
- (615) 847-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist - Prosthetics Case Management — Prosthetics Case Management |
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