NPI 1376013235 · live from the CMS NPI Registry
Kathleen Margaret Clark, MSN FNP-C
Nurse Practitioner, Family in Keene, NH. National Provider Identifier 1376013235, active.
NPI record
| NPI | 1376013235 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 580 Court St, Keene, NH 03431 |
| Practice phone | 603-354-5400 |
| Mailing address | Po Box 810, Hanover, NH 03755 |
| Enumerated | December 4, 2018 |
| Last updated | April 20, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | 101.0134242 (VT) |
| Nurse Practitioner, Family primary | 363LF0000X | 1376013235 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.