MRS. KATHLEEN MARY CLARK R.N.
NPI 1407290364
Registered Nurse - School in Columbia, SC

Active since April 23, 2013
2800 ASHLAND RD, COLUMBIA, SC 29210(803) 476-8509(803) 476-8520 Get Directions Write a Review

NPPES record last updated: April 23, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Kathleen Mary Clark R.n. NPPES

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

MRS. KATHLEEN MARY CLARK R.N. (NPI 1407290364) is an individual school provider in Columbia, South Carolina, licensed in South Carolina (42521) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1407290364
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameMRS. KATHLEEN MARY CLARKCredential: R.N.
Location Address2800 ASHLAND RDColumbia, SC 29210-5010
Mailing Address2800 Ashland RdColumbia, SC 29210-5010 · (803) 476-8509 · Fax (803) 476-8520
Fax(803) 476-8520
Sole ProprietorNo
Enumeration DateApril 23, 2013
NPI 1407290364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License Licensed in SC · 42521
2800 ASHLAND RD, Columbia, SC 29210

Other Identifiers 1

Medicaid42521SC

Other Providers at the Same Location NPPES 2

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

Speech-Language Pathologist
2800 ASHLAND RD
COLUMBIA, SC 29210
Speech-Language Pathologist
2800 ASHLAND RD
COLUMBIA, SC 29210

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 Kathleen Clark's NPI number?

The NPI number for Kathleen Clark is 1407290364. It was assigned to this individual provider in the NPPES registry on April 23, 2013.

Where is Kathleen Clark located?

Kathleen Clark practices at 2800 Ashland Rd, Columbia, SC 29210. The listed phone number is (803) 476-8509.

What is Kathleen Clark's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in School, with taxonomy code 163WS0200X.

When was this NPI record last updated?

The NPPES record for Kathleen Clark was last updated on April 23, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.