Nancy S Clark
Vascular Surgeon
401 E Chestnut St Unit 710
Louisville
, Kentucky 40202
Nancy S Clark
Vascular Surgeon
401 E Chestnut St Unit 710
Louisville
, Kentucky 40202
(502) 588-0325
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Nancy S Clark
- Po Box 909
- Louisville, KY
- Zip : 40201-0909
- Phone : (502) 588-0325
Second Address
- Nancy S Clark
- 401 E Chestnut St Unit 710
- Louisville, KY
- Zip : 40202
- Phone : (502) 583-8303
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 50539 | KY |
National Provider Identifier
| NPI | 1114986023 |
|---|---|
| Provider Name | Nancy S Clark |
| First Address | Louisville, KY 40201-0909 |
| Second Address | Louisville, KY 40202 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/03/2006 |
| Last Update Date | 25/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 413914300 | (05) | MD |
| 7100468230 | (05) | KY |
| 88260001 | BLUE DC (01) | DC |
| 95QW | BLUE MD (01) | MD |
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.