IndividualActive
Christina Clark, PAC
NPI 1679656953 · Physician Assistant · Harrodsburg, KY
Provider details
- NPI number
- 1679656953
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- License
- PA482 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1509 Louisville Rd
Harrodsburg, KY 40330-8622
Phone: (859) 239-2379
Fax: (859) 239-6898
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 990
Danville, KY 40423-0990
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2020-12-02
- Certified
- 2020-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.