Individual provider · Type 1 NPI

Katherine Rose Clark, PA-C

Physician Assistant · Crystal, MN

NPI number 1003683509 Active

Practice location

5109 36th Ave N
Crystal, MN 55422

Call (763) 587-7999 Map

Fax (763) 587-7989

Other practice locations

  • 9825 Hospital Dr Ste 300, Maple Grove, MN 55369-4768 · (763) 587-7999

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X14744 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

16 other providers at this address

Other physician assistant providers in Crystal

See all in Crystal →

About NPI 1003683509

Katherine Rose Clark, PA-C's National Provider Identifier is 1003683509, issued on Dec 5, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Crystal, MN. The record was last updated on Mar 31, 2025.