Individual provider · Type 1 NPI

Kristal Renee Clark, LPN

Licensed Practical Nurse · Fairfield, OH

NPI number 1710825211 Active

Practice location

5877 Judy Dr
Fairfield, OH 45014-4798

Call (513) 883-9661 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X159206MEDSIV (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1710825211

Kristal Renee Clark, LPN's National Provider Identifier is 1710825211, issued on Mar 24, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fairfield, OH. The record was last updated on Mar 24, 2026.