National Provider Identifier
Kristin L Clark, MD
Kristin L Clark, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Buffalo, NY and a listed phone number of (716) 862-8787.
Profile Overview
- NPI
- 1770617102
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- March 15, 2007
- Last Updated
- July 08, 2007
Practice Location
- 3495 Bailey Ave
- Buffalo, NY 14215-1129
Phone: (716) 862-8787
Mailing Address
- 109 Shellridge Dr
- East Amherst, NY 14051-1372
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1770617102
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Kristin
- Middle Name
- L
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 109 Shellridge Dr
- Mailing City
- East Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14051-1372
- Mailing Country
- US
- Mailing Phone
- (716) 689-1015
- Practice Street Address
- 3495 Bailey Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1129
- Practice Country
- US
- Practice Phone
- (716) 862-8787
- Enumeration Date
- March 15, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)