Marisol C Clark
Family Doctor Family Doctor - Addiction Medicine
593 E Main St
Frankfort
, Kentucky 40601-2332
Marisol C Clark
Family Doctor Family Doctor - Addiction Medicine
593 E Main St
Frankfort
, Kentucky 40601-2332
(270) 858-4607
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Marisol C Clark
- Po Box 1080
- Burkesville, KY
- Zip : 42717-1080
- Fax : (270) 858-4607
- Phone : (270) 858-6655
Second Address
- Marisol C Clark
- 593 E Main St
- Frankfort, KY
- Zip : 40601-2332
- Fax : (502) 227-5764
- Phone : (502) 223-0308
Reviews
FAQs
Where did Marisol C Clark attend graduate school?
Where did Marisol C Clark do her residency?
Where did Marisol C Clark do her fellowship?
Is Marisol C Clark board certified?
What type of doctor is Marisol C Clark
In what state does Marisol C Clark practice in?
Where is Marisol C Clark ’s practice located?
What is Marisol C Clark ’s gender?
Is Marisol C Clark a sole practitioner?
Is Marisol C Clark accepting new patients?
What languages does Marisol C Clark speak?
Does Marisol C Clark accept insurance?
Does Marisol C Clark offers telemedicine?
What is Marisol C Clark ’s professional license number?
What is Marisol C Clark ’s NPI number?
Does Marisol C Clark have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 2011-01655 | NC |
| N | 207Q00000X | Family Doctor | 390200000X | NE |
| Y | 207Q00000X | Family Doctor | 49101 | KY |
| N | 207QA0401X | Family Doctor - Addiction Medicine | 49101 | KY |
National Provider Identifier
| NPI | 1578613030 |
|---|---|
| Provider Name | Marisol C Clark |
| First Address | Burkesville, KY 42717-1080 |
| Second Address | Frankfort, KY 40601-2332 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/01/2007 |
| Last Update Date | 11/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7100443440 | (05) | KY |
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.