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Keturah S. Clark

Prosthetist

936 Exchange St Ste E-103
Rochester , New York 14608-2801

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Image

Keturah S. Clark

Prosthetist

936 Exchange St Ste E-103
Rochester , New York 14608-2801

Write a Review Save Call

Keturah S. Clark

Prosthetist

936 Exchange St Ste E-103
Rochester , New York 14608-2801

Write a Review Save
About
Location
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Keturah S. Clark
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About

Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Prosthetist

Languages spoken

  • English

Location

936 Exchange St Ste E-103 Rochester , New York 14608-2801
Get Directions

First Address

  • Keturah S. Clark
  • Po Box 15622
  • Rochester, NY
  • Zip : 14615-0622
  • Phone :

Second Address

  • Keturah S. Clark
  • 936 Exchange St Ste E-103
  • Rochester, NY
  • Zip : 14608-2801
  • Phone : (585) 351-8391

Reviews

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FAQs

Where did Keturah S. Clark attend graduate school?

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Where did Keturah S. Clark do her residency?

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Where did Keturah S. Clark do her fellowship?

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Is Keturah S. Clark board certified?

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What type of doctor is Keturah S. Clark

Prosthetist

In what state does Keturah S. Clark practice in?

New York

Where is Keturah S. Clark ’s practice located?

936 Exchange St Ste E-103 , Rochester, New York, 14608-2801

What is Keturah S. Clark ’s gender?

Female

Is Keturah S. Clark a sole practitioner?

No

Is Keturah S. Clark accepting new patients?

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What languages does Keturah S. Clark speak?

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Does Keturah S. Clark accept insurance?

Yes, Keturah S. Clark accepts insurance

Does Keturah S. Clark offers telemedicine?

Keturah S. Clark has not indicated if she offers telemedicine

What is Keturah S. Clark ’s professional license number?

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What is Keturah S. Clark ’s NPI number?

1043705924

Does Keturah S. Clark have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 224P00000X Prosthetist

National Provider Identifier

NPI 1043705924
Provider Name Keturah S. Clark
First Address Rochester, NY 14615-0622
Second Address Rochester, NY 14608-2801
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 24/06/2018
Last Update Date 24/06/2018

NPI Footnotes

What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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