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.
Source: public NPPES record, last updated July 08, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
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)
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Biography
Dr. Kristin Lee Clark is a Buffalo physician specializing in diagnostic radiology, according to the AMA. She earned her MD from the Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo and completed University at Buffalo training that included an internal medicine internship and diagnostic radiology residency. Public profiles also associate her with VA medical centers in Buffalo and the Bronx.
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)