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Search › Ohio › 171M00000X

Kourtney Clark

NPI 1467088070 · on the registry since 2020 · sole proprietor

Practice

Address
2728 Euclid Ave
Cleveland, OH 44115
Phone
(216) 600-5194
Organisation at this address
Life Solutions South
Life Solutions South
Life Solutions South
Inferred from a shared address, not stated in the registry.
Clinicians at this address
165

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
172V00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-03-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio