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Contact Information

LATOYA M CLARK, RD
650 JOEL DR
FORT CAMPBELL, KY42223-5318
 Phone: 270-798-8600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for LATOYA M CLARK · (Female)

NPI Number 1689959801
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 10/19/2011
Last updated 05/13/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 967127
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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