DR. PAUL RICHARD CLARK RN, PHD, MA, FAEN
NPI 1093593600
Registered Nurse in Louisville, KY

Q: What is Paul Clark's NPI number?

The NPI number for Paul Clark is 1093593600. It was assigned to this individual provider in the NPPES registry on September 15, 2023.

Q: What is Paul Clark's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Clark was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 15, 2023

555 S FLOYD ST, LOUISVILLE, KY 40202(210) 789-6031 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Paul Richard Clark Rn, Phd, Ma, Faen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL RICHARD CLARK RN, PHD, MA, FAEN (NPI 1093593600) is an individual registered nurse in Louisville, Kentucky, licensed in Indiana (28193134A) and active in the NPI registry since September 2023. He maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1093593600

Entity TypeIndividualMale

Primary Taxonomy163W00000X

Provider Legal NameDR. PAUL RICHARD CLARKCredential: RN, PHD, MA, FAEN

Location Address555 S FLOYD STLouisville, KY 40202-3822

Mailing Address101 Saint Anthony DrMount Saint Francis, IN 47146-9001 · (210) 789-6031

Phone(210) 789-6031

Sole ProprietorNo

Enumeration DateSeptember 15, 2023

Last NPPES UpdateOctober 4, 2023

NPPES CertifiedOctober 4, 2023

✔ NPI 1093593600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in IN · 28193134A

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

555 S FLOYD ST, Louisville, KY 40202

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Secondary Practice Location 1

Location 14007 Kresge WayLouisville, KY 40207-4604 · Phone (210) 789-6031

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ALEJANDRO RENE ALVAREZ

Student in an Organized Health Care Education/Training Program