Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRYSTAL CLARK
ActiveKRYSTAL CLARK is a Nuclear Medicine healthcare provider located in MAINEVILLE, Ohio. NPI 1609385566 is currently active in the NPPES registry. Verify at CMS.
Nuclear Medicine · MAINEVILLE, OH
Registration Details
- NPI Number
- 1609385566
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 22, 2017 (8.9176174116233 yrs)
- Last Updated
- Sep 22, 2017
- Licenses
-
560296 (OH)040877 (OH)
Practice Information
- Address
-
6960 ERIE DRMAINEVILLE, OH, 450395105Browse OH providers · Browse ZIP 45039
- Phone
- 5132402892
- Primary Specialty
-
Nuclear Medicine
207U00000X
- Additional Specialty
- Nuclear Medicine
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.