NPI 1023978905
Mary Katherine Clark
Practice location
- Address
- 1276 W River St STE 100, Boise, ID 83702-7083
- Phone
- (208) 781-8504
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1023978905
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Nov 2025
- Record last updated
- 13 Nov 2025
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.