Individual provider · Type 1 NPI

Kerry R. Clark, RD

Registered Dietitian · Spokane, WA

NPI number 1114366168 Active

Practice location

101 W 8th Ave, Suite 1100
Spokane, WA 99204-2307

Mailing address

PO Box 421
Liberty Lake, WA 99019-0421

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XDI00000348 (WA)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1114366168

Kerry R. Clark, RD's National Provider Identifier is 1114366168, issued on Jun 21, 2013. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Spokane, WA. The record was last updated on May 3, 2021.