Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN CLARK, PA
ActiveJONATHAN CLARK, PA is a 2084A2900X healthcare provider located in LEXINGTON, Kentucky. NPI 1447022538 is currently active in the NPPES registry. Verify at CMS.
2084A2900X · LEXINGTON, KY
Registration Details
- NPI Number
- 1447022538
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2023 (2.8001287400015 yrs)
- Last Updated
- Oct 23, 2023
- License
-
TC055 (KY)
Practice Information
- Address
-
1720 NICHOLASVILLE RD STE 601LEXINGTON, KY, 405031451Browse KY providers · Browse ZIP 40503
- Phone
- 8592604331
- Primary Specialty
-
2084A2900X
2084A2900X
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.