NPI 1013120948

Theresa S. Clark, MSRDCDELD

Practitioner Registered Dietitian Hopkinsville, KY

Practice location

Address: 530 Noel Ave, Hopkinsville, KY 42240-1386
Phone: (270) 707-0060
Fax: (270) 707-0068

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence KY-0517 (KY)

Other Dietitian, Registered providers in Kentucky →

Registry record

NPI: 1013120948
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 May 2007
Record last updated: 5 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.