DR. ANDREW JEFFREY CLARK MD - NPI 1679034508 - Student in an Organized Health Care Education/Training Program in Louisville, KY

Q: What is Andrew Clark's NPI number?

The NPI number for Andrew Clark is 1679034508. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Q: What is Andrew Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Clark was last updated on March 25, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Andrew Jeffrey Clark Md NPPES

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

DR. ANDREW JEFFREY CLARK MD (NPI 1679034508) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1679034508

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. ANDREW JEFFREY CLARKCredential: MD

Location Address530 S JACKSON STLouisville, KY 40202-1675

Mailing Address530 S Jackson StLouisville, KY 40202-1675 · (502) 852-5853

Phone(502) 852-5853

Sole ProprietorNo

Enumeration DateMarch 25, 2019

✔ NPI 1679034508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

530 S JACKSON ST, Louisville, KY 40202

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