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MRS. KRISTEN LEIGH CLARK LPN
NPI 1174959910
Licensed Practical Nurse in Buffalo, NY

Active since September 25, 2013
105 EDGEWOOD AVE, BUFFALO, NY 14220(716) 435-1175 Get Directions Write a Review

NPPES record last updated: September 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kristen Leigh Clark Lpn NPPES

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

MRS. KRISTEN LEIGH CLARK LPN (NPI 1174959910) is an individual licensed practical nurse in Buffalo, New York, licensed in New York (313915-1) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1174959910
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. KRISTEN LEIGH CLARKCredential: LPN
Location Address105 EDGEWOOD AVEBuffalo, NY 14220-1765
Mailing Address105 Edgewood AveBuffalo, NY 14220-1765 · (716) 435-1175
Phone(716) 435-1175
Sole ProprietorNo
Enumeration DateSeptember 25, 2013
✔ NPI 1174959910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 313915-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
105 EDGEWOOD AVE, Buffalo, NY 14220
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristen Clark's NPI number?

The NPI number for Kristen Clark is 1174959910. It was assigned to this individual provider in the NPPES registry on September 25, 2013.

Where is Kristen Clark located?

Kristen Clark practices at 105 Edgewood Ave, Buffalo, NY 14220. The listed phone number is (716) 435-1175.

What is Kristen Clark's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kristen Clark was last updated on September 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.