Individual provider · Type 1 NPI

Kristal Clark

Student in an Organized Health Care Education/Training Program · Orlando, FL

NPI number 1124723192 Active

Practice location

5766 S Semoran Blvd
Orlando, FL 32822-4818

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124723192

Kristal Clark's National Provider Identifier is 1124723192, issued on Mar 31, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orlando, FL. The record was last updated on Mar 31, 2023.