Kris D Clark, PA

NPI #1154318624 in Colonial Heights, Virginia

Provider Information

NPI Number: 1154318624
Entity Type: Individual
Name: Kris D Clark, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 30, 2005
Last Updated: Mar 22, 2021

Practice Location

Address: 1260 TEMPLE AVE
City: Colonial Heights
State: Virginia
ZIP Code: 23834-2984
Phone: (804) 518-2597

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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