Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Andrew Jeffrey Clark, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679034508

Dr. Andrew Jeffrey Clark, MD is a Student in an Organized Health Care Education/Training Program in Louisville, Kentucky. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

530 S Jackson St
Louisville, KY 40202-1675
Phone: (502) 852-5853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1679034508
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2019
Last updated in NPPESMarch 25, 2019

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