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

Katie Renee Clark

Individual provider Case Manager/Care Coordinator · NPI 1720788680

Katie Renee Clark is a Case Manager/Care Coordinator in New Boston, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2023

Practice location Address checks out

4502 Gallia St
New Boston, OH 45662-5541
Phone: (740) 529-7020
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (OH)

Record details

NPI number1720788680
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 8, 2023
Last updated in NPPESMarch 8, 2023
Certification dateFebruary 18, 2023
Mailing address39 W 4th Ave, South Shore, KY 41175

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