Haley Clark

NPI #1326417023 in Stanford, Kentucky

Provider Information

NPI Number: 1326417023
Entity Type: Individual
Name: Haley Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Sep 23, 2015
Last Updated: Jun 25, 2019

Practice Location

Address: 100 JAY ST
City: Stanford
State: Kentucky
ZIP Code: 40484-7511
Phone: (606) 365-5746

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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