Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clark Medical Ventures, LLC

Organization Clinical Psychologist · NPI 1043650591

Clark Medical Ventures, LLC is a Clinical Psychologist in Winchester, Kentucky. Licensed in Kentucky. Registered with an NPI since 2013.

Licensed in
KY
In the registry since
2013
Specialties on file
12
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

174 Pedro Way
Winchester, KY 40391-8354
Phone: (859) 355-5653
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X · Licence 900176 (KY)
Clinical Psychologist Taxonomy 103TC0700X (KY)
Clinical Social Worker Taxonomy 1041C0700X (KY)
Emergency Medicine Physician Taxonomy 207P00000X (KY)
Family Medicine Physician Taxonomy 207Q00000X (KY)
Internal Medicine Physician Taxonomy 207R00000X (KY)
Nurse Practitioner Taxonomy 363L00000X (KY)
Acute Care Nurse Practitioner Taxonomy 363LA2100X (KY)
Family Nurse Practitioner Taxonomy 363LF0000X (KY)
Pediatric Nurse Practitioner Taxonomy 363LP0200X (KY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X (KY)
Women's Health Nurse Practitioner Taxonomy 363LW0102X (KY)

Record details

NPI number1043650591
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brittany Underwood — Credentialing Agent · (859) 303-8746
Other names Clark Family Care; Clark Family Care
NPI enumeratedJune 28, 2013
Last updated in NPPESSeptember 2, 2021
Certification dateSeptember 2, 2021
Mailing address1031 Wellington Way Ste 240, Lexington, KY 40513-1257

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