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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. THERESA S. CLARK, MSRD,C.D.E., L.D.

Active Sole Proprietor

MRS. THERESA S. CLARK, MSRD,C.D.E., L.D. is a Registered Dietitian healthcare provider located in HOPKINSVILLE, Kentucky. NPI 1013120948 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · HOPKINSVILLE, KY

Registration Details

NPI Number
1013120948
Provider Type
Individual
Gender
Female
NPI Issued
May 7, 2007 (19.229830464717 yrs)
Last Updated
Aug 5, 2016
License
KY-0517 (KY)
Sole Proprietor
Yes

Practice Information

Address
530 NOEL AVE
HOPKINSVILLE, KY, 422401386
Browse KY providers · Browse ZIP 42240
Phone
2707070060
Fax
2707070068
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in HOPKINSVILLE, KY

Name Credential NPI
MRS. KIMBERLY GAIL CLOYD R.D. 1396840732
EMILY COLTHART RD 1235403692
LINSEY RAMAGE RD 1952645376
JILLIAN MONTGOMERY WEASE MS, RD, LD 1891583043
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.