Individual provider · Type 1 NPI

Jeremy J. Clark, MD

Gynecology Physician · Louisville, KY

NPI number 1588717417 Active

Practice location

401 E Chestnut St, Suite 410
Louisville, KY 40202-5700

Call (502) 271-5999 Map

Fax (502) 271-5994

Mailing address

550 S Jackson St Fl 2, Dept Ob/gyn Att Vicki Masterson
Louisville, KY 40202-1622

Specialties and licenses

TaxonomyCodeLicense
Gynecology Physician Primary 207VG0400X41069 (KY)

Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

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About NPI 1588717417

Jeremy J. Clark, MD's National Provider Identifier is 1588717417, issued on Jan 22, 2007. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Louisville, KY. The record was last updated on Nov 29, 2021.