NPI 1013467588 · live from the CMS NPI Registry
Kathryn Jan Clark, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Washington, DC. National Provider Identifier 1013467588, active.
NPI record
| NPI | 1013467588 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 4110 River Rd Nw, Washington, DC 20016 |
| Practice phone | 202-686-2108 |
| Enumerated | October 10, 2016 |
| Last updated | October 10, 2016 |
| Sole proprietor | No |
| Other names | Kathryn Haverkos |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DEN1000899 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.