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KATHY ANN CLARK L.P.N.
NPI 1306062435
Licensed Practical Nurse in Canal Winchester, OH

Active since April 17, 2007
7772 WILLIAMSON LN, CANAL WINCHESTER, OH 43110(614) 837-8350 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathy Ann Clark L.p.n. NPPES

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

KATHY ANN CLARK L.P.N. (NPI 1306062435) is an individual licensed practical nurse in Canal Winchester, Ohio, licensed in Ohio (PN.065411) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1306062435
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKATHY ANN CLARKCredential: L.P.N.
Location Address7772 WILLIAMSON LNCanal Winchester, OH 43110-8524
Mailing Address7772 Williamson LnCanal Winchester, OH 43110-8524 · (614) 837-8350
Phone(614) 837-8350
Sole ProprietorYes
Enumeration DateApril 17, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1306062435 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 OH · PN.065411
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.
7772 WILLIAMSON LN, Canal Winchester, OH 43110
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Other Identifiers 1

Medicaid2117533OH

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 Kathy Clark's NPI number?

The NPI number for Kathy Clark is 1306062435. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Kathy Clark located?

Kathy Clark practices at 7772 Williamson Ln, Canal Winchester, OH 43110. The listed phone number is (614) 837-8350.

What is Kathy 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 Kathy Clark was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.