Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Adrienne Renee Clark, ATC/LAT

Individual provider Athletic Trainer · NPI 1386913879

Mrs. Adrienne Renee Clark, ATC/LAT is an Athletic Trainer in Kokomo, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2011
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Practice location Address checks out

2312 S Dixon Rd Ste 250
Kokomo, IN 46902-6401
Phone: (765) 455-2122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 36001446A (IN)

Record details

NPI number1386913879
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC/LAT
Sole proprietorYes
NPI enumeratedDecember 29, 2011
Last updated in NPPESDecember 29, 2011

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