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KETURAH S. CLARK NPI 1043705924


NPI Information

NPI: 1043705924
Provider Name: KETURAH S. CLARK
Classification: Prosthetist - 224P00000X
Entity Type: Individual
Address:
936 EXCHANGE ST STE E-103
ROCHESTER, NY
ZIP 14608
Phone: (585) 351-8391
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Keturah S. Clark is a prosthetist in Rochester, NY. The provider is a health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. Keturah S. Clark NPI is 1043705924. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

936 EXCHANGE ST STE E-103
ROCHESTER, NY
ZIP 14608-801
Phone: (585) 351-8391

The enumeration date for this NPI number is 6/24/2018 and was last updated on 6/24/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1224P00000XProsthetistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.