National Provider Identifier Database

ANDREA WIGGINS CLARK, DVM – NPI #1871151407
Specialist/Technologist, Other

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.


Contact Information

ANDREA WIGGINS CLARK, DVM
9482 BROWNSBORO RD
LOUISVILLE, KY40241-1118
Phone: 502-412-6322
Fax:
Website:
Specialty Taxonomy Code
* Specialist/Technologist, Other 246Z00000X

* Indicates primary specialty

NPI Profile & details for ANDREA WIGGINS CLARK

NPI Number 1871151407
Credentials DVM
Entity Individual
Enumeration date 05/29/2019
Last updated 05/29/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • KY License #: 147578
Hospital affiliation n/a

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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