Kerrie Lynne Clark, MSED

Specialist · Lindenhurst, NY

Individual Active NPI

NPI number 1033464383

Practice location

51 3rd St
Lindenhurst, NY 11757-1324
Phone
(631) 957-2242

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NPI record

NPI
1033464383
Entity type
Individual (Type 1)
Enumeration date
July 23, 2012
Last updated
July 23, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 1825979 NY

About Kerrie Clark

Kerrie Lynne Clark, MSED is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 51 3rd St, Lindenhurst, NY 11757-1324. The NPI number 1033464383 was assigned on July 23, 2012 and the record was last updated on July 23, 2012.

Kerrie Clark lists a license in the registry: #1825979 (NY) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kerrie Lynne Clark, MSED?

The NPI number is 1033464383.

What is the phone number of Kerrie Clark?

The phone number listed for the practice location is (631) 957-2242.

Where is Kerrie Clark located?

51 3rd St, Lindenhurst, NY 11757-1324.

What is the taxonomy code for Kerrie Clark?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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