NPI Profile for KRYSTA E CLARK in POLAND, ME.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diabetes Educator |
163WD0400X |
| NPI Number | 1487447736 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/28/2025 | |
| Last updated | 05/28/2025 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KRYSTA E CLARK
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