National Provider Identifier
Keturah S. Clark
Keturah S. Clark is listed in the NPPES registry with a primary specialty of Prosthetist in Rochester, NY and a listed phone number of (585) 351-8391.
Profile Overview
- NPI
- 1043705924
- Provider Type
- Individual
- Primary Specialty
- Prosthetist
- Enumeration Date
- June 24, 2018
- Last Updated
- June 24, 2018
Practice Location
- 936 Exchange St Ste E-103
- Rochester, NY 14608-2801
Phone: (585) 351-8391
Mailing Address
- PO Box 15622
- Rochester, NY 14615-0622
Specialties
- Prosthetist (224P00000X)
Full Record
- NPI
- 1043705924
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Keturah
- Middle Name
- S.
- Mailing Street Address
- PO Box 15622
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14615-0622
- Mailing Country
- US
- Practice Street Address
- 936 Exchange St Ste E-103
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14608-2801
- Practice Country
- US
- Practice Phone
- (585) 351-8391
- Enumeration Date
- June 24, 2018
- Last Updated
- June 24, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Prosthetist (224P00000X)