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

Dr. Katherine A Clark, DO

Individual provider Family Medicine Physician · NPI 1366424798

Dr. Katherine A Clark, DO is a Family Practice in Beavercreek, Ohio. Graduated from Ohio University, College of Osteopathic Medicine in 1988, 38 years ago. Practices with Alliance Physicians Inc, a 314-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
38
Trained at
Ohio University, College of Osteopathic Medicine
Licensed in
OH
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4172 Indian Ripple Rd Ste A
Beavercreek, OH 45440-3286
Phone: (937) 431-3779
Fax: (937) 431-3776
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 34004845 (OH)

Record details

NPI number1366424798
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedNovember 21, 2005
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020
Mailing address4172 Indian Ripple Rd Ste A, Beavercreek, OH 45440-3286

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1988 (38 years in practice)
Group practice Alliance Physicians Inc — 314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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