Judy K Clark (NPI# 1932404761, PAC ID# 8123278090) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1932404761 |
| PAC ID by PECOS | 8123278090 |
| Professional Enrollment ID | I20121031000041 |
| Full Name | Judy K Clark |
| Organization Legal Name | KENTUCKYONE HEALTH MEDICAL GROUP INC |
| Address |
103 Alycia Dr Suite 2 Richmond KY 40475-2368 |
| Phone Number | 8596260554 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8820993702 |
| Number of Group Practice Members | 557 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 181329 | SAINT JOSEPH BEREA |
| Address | Phone | Organization |
|---|---|---|
| 103 Alycia Dr, Suite 2, Richmond, KY 40475-2368 | 8596260554 | KENTUCKYONE HEALTH MEDICAL GROUP INC |
| 1054 Ctr Dr, Suite 2, Richmond, KY 40475-3851 | 8596255242 | KENTUCKYONE HEALTH MEDICAL GROUP INC |
| Organization Legal Name | KENTUCKYONE HEALTH MEDICAL GROUP INC |
| Physicians | 261 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryne J Blair | General Surgery | Kentuckyone Health Medical Group Inc | 1406 W 5th St, Suite 301, London, KY 40741-1688 |
| David Cody Dugger | Nurse Practitioner | Kentuckyone Health Medical Group Inc | 160 London Mountain View Dr, London, KY 40741-6601 |
| Karyn N Mcguire | Nurse Practitioner | Kentuckyone Health Medical Group Inc | 417 River Dr, Irvine, KY 40336-1272 |
| Billie Renee Hensley | Nurse Practitioner | Kentuckyone Health Medical Group Inc | 475 Shoppers Dr, Winchester, KY 40391-1380 |
| Joseph Tylor Silvers | Family Medicine | Kentuckyone Health Medical Group Inc | 148 London Mountain View Dr, Suite 4, London, KY 40741-6617 |
| Sarah E Greenwell | Nurse Practitioner | Kentuckyone Health Medical Group Inc | 110 S Salem Dr, Bardstown, KY 40004-1761 |
| Amelia Nicole Stevens | Nurse Practitioner | Kentuckyone Health Medical Group Inc | 478 Whirlaway Dr, Suite 200, Danville, KY 40422-9037 |
| Indhira Bisono Jimenez | Rheumatology | Kentuckyone Health Medical Group Inc | 211 Fountain Ct, Suite 220, Lexington, KY 40509-2696 |
| Janet Rae Mcfarland | Nurse Practitioner | Kentuckyone Health Medical Group Inc | 1250 Keene Rd, Suite 102, Nicholasville, KY 40356-7600 |
| Elizabeth J Coblentz | Nurse Practitioner | Kentuckyone Health Medical Group Inc | 2750 Battlefield Memorial Hwy, Berea, KY 40403-8332 |
| Street Address |
103 ALYCIA DR SUITE 2 |
| City | RICHMOND |
| State | KY |
| Zip | 40475-2368 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy L Gregg | Nurse Practitioner | Kentuckyone Health Medical Group Inc | 103 Alycia Dr, Suite 2, Richmond, KY 40475-2368 |
| Neil J Klemek | Family Practice | Kentuckyone Health Medical Group Inc | 103 Alycia Dr, Richmond, KY 40475-2368 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William R Crowe Jr. | Urology | Ethan Health LLC | 1623 Foxhaven Dr, Richmond, KY 40475-1056 |
| Heather J Mcclure | Nurse Practitioner | Ethan Health LLC | 1623 Foxhaven Dr, Richmond, KY 40475-1056 |
| Stuart Martin | Anesthesiology | Ethan Health LLC | 1623 Foxhaven Dr, Richmond, KY 40475-1056 |
| Rebecca H Proudfoot | Clinical Social Worker | 238 N 2nd St, Suite 1, Richmond, KY 40475-1484 | |
| Linda J Clark | Clinical Social Worker | 238 N 2nd St, Suite 1, Richmond, KY 40475-1484 | |
| Marshall J Ney Jr. | Oral Surgery | 527 W Main St, Richmond, KY 40475-1880 | |
| James Tait Iv | Chiropractic | Richmond Family Chiropractic | 301 Big Hill Ave, Richmond, KY 40475-2011 |
| Shawn Warren | Chiropractic | Richmond Family Chiropractic | 301 Big Hill Ave, Richmond, KY 40475-2011 |
| Lauren Audrey Puckett | Physician Assistant | Baptist Health Medical Group Inc | 131 Meadowlark Dr, Richmond, KY 40475-2235 |
| Adrienne J Millett | Ophthalmology | Hh-ecc LLC | 238 Geri Ln, Richmond, KY 40475-2304 |
| Find all physicians in zip 40475 | |||
| City | RICHMOND |
| Zip Code | 40475 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | RICHMOND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Judy K 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.