| Doctor Name: | KATHLEEN ANNE CLARK |
| NPI Number: | 1518103886 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 42540 |
| Business Practice Address: | 1400 S Coulter St Amarillo, TX - 791061786 |
| Business Phone Number: | 8063545660 |
| Business Fax Number: | 8063545717 |
| Mailing Address: | 1400 Wallace Blvd, Attn: Credentialing Dept. AMARILLO |
| State: | TX |
| Postal Code: | 791061708 |
| Phone Number: | 8063545585 |
| Fax Number: | 8063564673 |
| NPI Enumeration Date: | 12/16/2008 |
| NPI Last Update Date: | 12/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 42540 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |