Haley Clark

Physician Assistant · Stanford, KY

Individual Active NPI

NPI number 1326417023

Practice location

100 Jay St
Stanford, KY 40484-7511
Phone
(606) 365-5746

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NPI record

NPI
1326417023
Entity type
Individual (Type 1)
Enumeration date
September 23, 2015
Last updated
June 25, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X TC419 KY

Mailing address

436 Logan Creek Dr
Stanford, KY 40484-9524
Phone
(859) 324-5746

About Haley Clark

Haley Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 100 Jay St, Stanford, KY 40484-7511. The NPI number 1326417023 was assigned on September 23, 2015 and the record was last updated on June 25, 2019.

Haley Clark lists a license in the registry: #TC419 (KY) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Haley Clark?

The NPI number is 1326417023.

What is the phone number of Haley Clark?

The phone number listed for the practice location is (606) 365-5746.

Where is Haley Clark located?

100 Jay St, Stanford, KY 40484-7511.

What is the taxonomy code for Haley Clark?

The primary taxonomy code is 363A00000X – Physician Assistant.

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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