Hunter Kavin Clark, CRNP Valid NPI
Individual provider · Nurse Practitioner · Dothan, AL
- NPI
- 1932588241
- Type
- Individual (Type 1)
- Primary specialty
- Nurse Practitioner
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363L00000X
- License number
- 1-117714 (AL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2015-05-20
- Last updated
- 2024-10-17
Practice location
1500 Ross Clark Cir
Dothan, AL 36301-4754
(334) 793-2663