National Provider Identifier
Kristen Leigh Clark, LPN
Kristen Leigh Clark, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 435-1175.
Profile Overview
- NPI
- 1174959910
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- September 25, 2013
- Last Updated
- September 25, 2013
Practice Location
- 105 Edgewood Ave
- Buffalo, NY 14220-1765
Phone: (716) 435-1175
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1174959910
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Kristen
- Middle Name
- Leigh
- Name Prefix
- Mrs.
- Credential
- LPN
- Mailing Street Address
- 105 Edgewood Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14220-1765
- Mailing Country
- US
- Mailing Phone
- (716) 435-1175
- Practice Street Address
- 105 Edgewood Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14220-1765
- Practice Country
- US
- Practice Phone
- (716) 435-1175
- Enumeration Date
- September 25, 2013
- Last Updated
- September 25, 2013
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)