NPI 1043204993 · live from the CMS NPI Registry
Kathleen M Clark, DC
Chiropractor, Neurology in Hartland, ME. National Provider Identifier 1043204993, active.
NPI record
| NPI | 1043204993 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor, Neurology 111NN0400X |
| Practice location | 209 Commercial St, Hartland, ME 04943 |
| Practice phone | 207-938-4880 |
| Enumerated | September 7, 2005 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor, Neurology primary | 111NN0400X | CR567 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.