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

Kristin Elise Clark, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164764585

Kristin Elise Clark, MD is a Student in an Organized Health Care Education/Training Program in Plymouth, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2013
Specialties on file
2
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

14700 28th Ave N Ste 20
Plymouth, MN 55447-4876
Phone: (763) 559-3779
Fax: (763) 450-3986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 — (414) 955-4575

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 64496 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1164764585
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2013
Last updated in NPPESSeptember 26, 2018

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