Kendra M Clark, RD,LDN is a
Dietitian, Registered based in Havre De Grace, Maryland. Kendra M Clark is licensed to practice in Maryland (license number D02324) and her current practice location is
501 S Union Ave, Food And Nutrition Department, Havre De Grace, Maryland. She can be reached at her office (for appointments etc.) via phone at
(443) 843-5262.
NPI number for Kendra M Clark is 1457491870 and her current mailing address is 501 S Union Ave, Food And Nutrition Department, Havre De Grace, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457491870.
Healthcare Provider's Profile
Full Name | Kendra M Clark |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 501 S Union Ave, Havre De Grace, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457491870
- Provider Enumeration Date: 02/07/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Kendra M Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457491870 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | D02324 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kendra M Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kendra M Clark, RD,LDN 501 S Union Ave, Food And Nutrition Department, Havre De Grace, MD 21078-3409 Ph: (443) 843-5262 | Kendra M Clark, RD,LDN 501 S Union Ave, Food And Nutrition Department, Havre De Grace, MD 21078-3409 Ph: (443) 843-5262 |
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