Individual provider · Type 1 NPI

Kris D. Clark, PA

Physician Assistant · Colonial Heights, VA

NPI number 1154318624 Active

Practice location

1260 Temple Ave
Colonial Heights, VA 23834-2984

Call (804) 518-2597 Map

Fax (804) 518-2598

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0110002643 (VA)

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…

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About NPI 1154318624

Kris D. Clark, PA's National Provider Identifier is 1154318624, issued on Sep 30, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Colonial Heights, VA. The record was last updated on Mar 22, 2021.