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

Kristyn Lyn Clark

Individual provider Family Nurse Practitioner · NPI 1982193298

Kristyn Lyn Clark is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2017, 9 years ago. Practices with Community Medical Associates Inc, a 1,365-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
9
Licensed in
KY
In the registry since
2018

Practice location Address checks out

2021 Hikes Ln
Louisville, KY 40218-4817
Phone: (502) 446-5555
Fax: (502) 394-3673
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3012305 (KY)

Record details

NPI number1982193298
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 2, 2018
Last updated in NPPESApril 3, 2023
Certification dateApril 3, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Community Medical Associates Inc — 1365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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