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Contact Information

RONDA K CLARK, PA-C
309 S LINCOLN AVE
YORK, NE68467
 Phone: 402-745-6279
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RONDA K CLARK · (Female)

NPI # 1700832565
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/25/2006
Last updated 05/15/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 4859
  • NE License # 684
Hospital affiliation(s)
  • YORK GENERAL HOSPITAL - (Critical Access)
    2222 LINCOLN AVE
    YORK, NE 68467
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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