Kathryn Jan Clark
Orthodontists
4110 River Rd Nw
Washington
, District of Columbia 20016-4618
Kathryn Jan Clark
Orthodontists
4110 River Rd Nw
Washington
, District of Columbia 20016-4618
(202) 686-2108
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Kathryn Jan Clark
- 4110 River Rd Nw
- Washington, DC
- Zip : 20016-4618
- Phone : (202) 686-2108
Second Address
- Kathryn Jan Clark
- 4110 River Rd Nw
- Washington, DC
- Zip : 20016-4618
- Phone : (202) 686-2108
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | DEN1000899 | DC |
National Provider Identifier
| NPI | 1013467588 |
|---|---|
| Provider Name | Kathryn Jan Clark |
| First Address | Washington, DC 20016-4618 |
| Second Address | Washington, DC 20016-4618 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2016 |
| Last Update Date | 10/10/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.