NPI 1609385566

Krystal Clark

Practitioner Nuclear Medicine Physician Maineville, OH

Practice location

Address: 6960 Erie Dr, Maineville, OH 45039-5105
Phone: (513) 240-2892

Registered specialties (2)

Nuclear Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207U00000X Licence 040877 (OH)

Other Nuclear Medicine providers in Ohio →

Nuclear Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207U00000X Licence 560296 (OH)

Registry record

NPI: 1609385566
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Sep 2017
Record last updated: 22 Sep 2017

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.