Jonathan Clark, M.D.

NPI #1154415156 in Danville, Kentucky

Provider Information

NPI Number
1154415156
Entity Type
Individual
Name
Jonathan Clark, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
M.D.
Enumeration Date
Oct 3, 2006
Last Updated
Aug 30, 2011

Practice Location

Address
109 DANIEL DR
ZIP Code
40422-2527
Phone
(859) 236-3361

Specialties & Taxonomy Codes

Specialty
Family Medicine

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