KATHERINE SOMERS CLARK MSRDNCNSCLD NPI 1265908818

NPI Information

NPI: 1265908818
Provider Name: KATHERINE SOMERS CLARK, MS,RDN,CNSC,LD
Classification: Dietitian, Registered - 133VN1006X
Entity Type: Individual

Specialization: Nutrition, Metabolic

Address:
2615 E 20TH ST
JOPLIN, MO
ZIP 64804
Phone: (417) 624-7546
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Katherine Somers Clark, MS,RDN,CNSC,LD is a nutrition and metabolic dietitian registered in Joplin, MO. Katherine Somers Clark, MS,RDN,CNSC,LD NPI is 1265908818. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2615 E 20TH ST
JOPLIN, MO
ZIP 64804-039
Phone: (417) 624-7546

The enumeration date for this NPI number is 10/22/2018 and was last updated on 10/22/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133VN1006X	Dietitian, Registered	Nutrition, Metabolic	2001013727	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2001013727	OTHER	MISSOURI	LICENSE

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: 11/14/2023

NPI Synchronization or Removal

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