Krystal Clark
Nuclear Medicine Specialist
6960 Erie Dr
Maineville
, Ohio 45039-5105
Krystal Clark
Nuclear Medicine Specialist
6960 Erie Dr
Maineville
, Ohio 45039-5105
(513) 240-2892
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Krystal Clark
- 6960 Erie Dr
- Maineville, OH
- Zip : 45039-5105
- Phone : (513) 240-2892
Second Address
- Krystal Clark
- 6960 Erie Dr
- Maineville, OH
- Zip : 45039-5105
- Phone : (513) 240-2892
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207U00000X | Nuclear Medicine Specialist | 040877 | OH |
| N | 207U00000X | Nuclear Medicine Specialist | 560296 | OH |
National Provider Identifier
| NPI | 1609385566 |
|---|---|
| Provider Name | Krystal Clark |
| First Address | Maineville, OH 45039-5105 |
| Second Address | Maineville, OH 45039-5105 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/09/2017 |
| Last Update Date | 22/09/2017 |
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.