J Karen Clark, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Pineville, KY
NPI 1215944384 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1215944384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 23093 (KY)
- Practice address
- 850 Riverview Rd
Pineville, KY 40977-1430 - Phone
- (606) 337-3051
- Fax
- (606) 337-2871
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040823000308 | LA | Practitioner - Diagnostic Radiology | 0345233649 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23093 | KY | MD | Diagnostic Radiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 23093 | KY | Yes |
Addresses
Primary practice location
850 Riverview Rd
Pineville, KY 40977-1430
Mailing address
850 Riverview Rd
Pineville, KY 40977-1430
Phone (606) 337-3051
Other names
- Dr. Judy Karen Clark
Other providers in Pineville, KY
- Corey Lee Campbell
- Mary Catherine Caruso
- Champion Physical Therapy Kentucky, LLC
- Childrens Advocacy Center of Bell County
- Christ Centered Physical Therapy for Appalachia Inc.
- Martha C Combs-Woolum
- Joanne D. Corum
- County of Bell
- Rebecca Nicole Crisp
- Cumberland Valley District Health Department
All providers in Pineville, KY · Diagnostic Radiology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.