Kristin Clark, MD
Kristin Clark, MD is a Family Practice in Ellicott City, Maryland. Qualified in 1996, 30 years ago. Practices with Powerback Rehabilitation LLC, a 616-clinician group and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 30
- Licensed in
- MD
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
5018 Dorsey Hall Dr Ste 104Ellicott City, MD 21042-7855
Phone: (410) 730-8288
Fax: (888) 235-9533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence D0053966 (MD) |
|---|
Record details
| NPI number | 1932177508 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 9, 2006 |
| Last updated in NPPES | March 30, 2012 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1996 (30 years in practice) |
| Group practice | Powerback Rehabilitation Llc — 616 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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