Theresa S Clark (NPI# 1013120948, PAC ID# 3678754892) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
| Nation Provider ID (NPI) | 1013120948 |
| PAC ID by PECOS | 3678754892 |
| Professional Enrollment ID | I20110222000341 |
| Full Name | Theresa S Clark |
| Address |
530 Noel Ave Hopkinsville KY 42240-1386 |
| Phone Number | 2707070060 |
| Gender | F |
| Graduation Year | 1987 |
| Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 530 Noel Ave, Hopkinsville, KY 42240-1386 | 2707070060 |
| Street Address |
530 NOEL AVE |
| City | HOPKINSVILLE |
| State | KY |
| Zip | 42240-1386 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Autumn Lee Triplett | Nurse Practitioner | 111 Derrick Pl, Hopkinsville, KY 42240-1325 | |
| Travis N Calhoun | Internal Medicine | 538 B Noel Ave, Hopkinsville, KY 42240-1386 | |
| Mark J Edmunds | Podiatry | 101 N Dr, Hopkinsville, KY 42240-1603 | |
| Charles W Bosch | Otolaryngology | 1830 High St, Suite B, Hopkinsville, KY 42240-1746 | |
| Vinna D Denison | Family Medicine | 320 N Dr, Hopkinsville, KY 42240-1806 | |
| Christina Marie Polete | Nurse Practitioner | Hopkinsville Family Care Psc | 315 A W 16th St, Hopkinsville, KY 42240-1903 |
| Michelle Lynn Ross | Physician Assistant | Fairview Physicians Network LLC | 219 W 17th St, Hopkinsville, KY 42240-1911 |
| Cyrus C Chapman Iii | Diagnostic Radiology | Pennyrile Radiology, Psc | 215 W 17th St, Hopkinsville, KY 42240-1911 |
| James M Clark | Diagnostic Radiology | Pennyrile Radiology, Psc | 215 W 17th St, Hopkinsville, KY 42240-1911 |
| Kirk Dominic Cianciolo | Urology | Fairview Physicians Network LLC | 219 W 17th St, Hopkinsville, KY 42240-1911 |
| Find all physicians in zip 42240 | |||
| City | HOPKINSVILLE |
| Zip Code | 42240 |
| Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| City + Specialty | HOPKINSVILLE + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
Please comment or provide details below to improve the information on Theresa S Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.