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

Marty Clark, APRN

Individual provider Family Nurse Practitioner · NPI 1093473142

Marty Clark, APRN is a Nurse Practitioner in Paducah, Kentucky. Qualified in 2021, 5 years ago. Practices with Paducah Vascular Institute PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
5
Licensed in
KY
In the registry since
2021
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

2501 Kentucky Ave
Paducah, KY 42003-3813
Phone: (270) 575-2598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3016751 (KY)

Record details

NPI number1093473142
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedDecember 6, 2021
Last updated in NPPESDecember 6, 2021
Certification dateDecember 6, 2021
Mailing address291 Kenneth Ln, Hickory, KY 42051-9558

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Paducah Vascular Institute Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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