Kristen Nicole Clark, OD

NPI #1306134317 in Champaign, Illinois

Provider Information

NPI Number
1306134317
Entity Type
Individual
Name
Kristen Nicole Clark, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Jul 12, 2011
Last Updated
Aug 5, 2011

Practice Location

Address
2435 VILLAGE GREEN PL
ZIP Code
61822-7676
Phone
(800) 325-7706

Specialties & Taxonomy Codes

Specialty
Optometrist

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