Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN CLARK
Active Sole ProprietorKATHLEEN CLARK is a Athletic Trainer healthcare provider located in NORTH SYRACUSE, New York. NPI 1043677446 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · NORTH SYRACUSE, NY
Registration Details
- NPI Number
- 1043677446
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 15, 2016 (10.584643424259 yrs)
- Last Updated
- Jan 15, 2016
- License
-
001774-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
221 LYNNHAVEN DRNORTH SYRACUSE, NY, 132122025Browse NY providers · Browse ZIP 13212
- Phone
- 3152562726
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in NORTH SYRACUSE, NY
| Name | Credential | NPI |
|---|---|---|
| SHAUN WALDRON | ATC, LMT | 1306135009 |
| KATJA MEYER | — | 1093487472 |
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.