| Vicki L Clark, CRNA | |
|
3535 Southern Blvd, Kettering, OH 45429-1221 | |
| (937) 293-8228 | |
| (937) 293-8229 |
| Full Name | Vicki L Clark |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3535 Southern Blvd, Kettering, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578539094 | NPI | - | NPPES |
| 0783219 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN-089448 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Vicki L Clark, CRNA 3535 Southern Blvd, Suite 3100, Kettering, OH 45429-1221 Ph: (937) 293-8228 | Vicki L Clark, CRNA 3535 Southern Blvd, Kettering, OH 45429-1221 Ph: (937) 293-8228 |
Timberly Deann Harvey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Brittney A Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Christopher A Murray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Mr. Patrick Bendel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Karen Vukin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Vicki S Dursch, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Jolynn K Harmon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 |