NPI 1033960968

Ian Clark, PA

Practitioner Physician Assistant Owensboro, KY

Practice location

Address: 2200 E Parrish Ave STE 101c, Owensboro, KY 42303-1450
Phone: (270) 688-1650
Fax: (270) 688-1651
Mailing address: PO Box 23229, Owensboro, KY 42304-3229

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA3443 (KY)

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Registry record

NPI: 1033960968
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Mar 2024
Record last updated: 17 Sep 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.