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Mrs. Katherine Rose Clark

PA-C

Physician Assistant

NPI: 1003683509Crystal, Minnesota, 55422(763) 587-7999Female
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About Mrs. Katherine Rose Clark

Mrs. Katherine Rose Clark, PA-C, is a female healthcare professional specializing in Physician Assistant, registered under National Provider Identifier (NPI) number 1003683509. Mrs. Katherine Rose Clark received her medical education at TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON, graduating in 2023.

Their primary practice is located at 5109 36TH AVE N, Crystal, Minnesota 55422. Patients can reach the office at (763) 587-7999. In addition to the primary location, Mrs. Katherine Rose Clark maintains 1 additional practice location.

Mrs. Katherine Rose Clark is affiliated with 1 hospital in the area. Mrs. Katherine Rose Clark is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services, is authorized to prescribe medications.

Mrs. Katherine Rose Clark has been NPI-registered since 2023.

Key Metrics

Practice Locations

2

Affiliated Hospitals

1

Doctor Details

Identity & Credentials

NPI Number
1003683509
Entity Type
Individual
First Name
Katherine
Last Name
Clark
Credential
PA-C
Gender
Female
Medical School
TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduation Year
2023
Sole Proprietor
No
Status
active

Primary Practice Location

Address
5109 36TH AVE N
City
Crystal
State
Minnesota
ZIP
55422
Country
United States
Phone
(763) 587-7999
Fax
(763) 587-7989

Specialty & Taxonomy

Primary Specialty
Physician Assistant
Classification
Physician Assistant
Taxonomy Code
363A00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
5109 36TH AVE N
City
CRYSTAL
State
MN
ZIP
55422

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Mrs. Katherine Rose Clark's NPI number?
Mrs. Katherine Rose Clark's National Provider Identifier (NPI) is 1003683509. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Mrs. Katherine Rose Clark specialize in?
Mrs. Katherine Rose Clark specializes in Physician Assistant. They received their medical education at TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON (class of 2023).
Where is Mrs. Katherine Rose Clark located?
Mrs. Katherine Rose Clark practices at 5109 36TH AVE N, Crystal, Minnesota 55422. You can reach them by phone at (763) 587-7999. They also have 1 additional practice location.
Does Mrs. Katherine Rose Clark accept Medicare?
Yes, Mrs. Katherine Rose Clark is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Mrs. Katherine Rose Clark offer telehealth or virtual visits?
Mrs. Katherine Rose Clark does not currently offer telehealth services. In-person visits are required at their practice location.
Can Mrs. Katherine Rose Clark prescribe medications?
Yes, Mrs. Katherine Rose Clark is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Mrs. Katherine Rose Clark is 1003683509.