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

Dr. Paul Richard Clark, RN, PHD, MA, FAEN

Individual provider Registered Nurse · NPI 1093593600

Dr. Paul Richard Clark, RN, PHD, MA, FAEN is a Registered Nurse in Louisville, Kentucky. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2023
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

555 S Floyd St
Louisville, KY 40202-3822
Phone: (210) 789-6031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4007 Kresge Way, Louisville, KY 40207-4604 — (210) 789-6031

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 28193134A (IN)

Record details

NPI number1093593600
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , PHD , MA , FAEN
Sole proprietorNo
NPI enumeratedSeptember 15, 2023
Last updated in NPPESOctober 4, 2023
Certification dateOctober 4, 2023

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