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Katherine Clark, CPNP

Pediatrics · Palo Alto

NPI 1841557428

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Katherine Clark’s office at (650) 688-3644 to ask if they take your plan before you enroll.

California Medical Board record

Licence A23185 · Cancelled

Licence status: Cancelled · since 1969 · Tehran University of Medical Sciences and Health Services.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Professional record

NPI
1841557428
Licence
CA 23185, NC 5005585California A23185: Cancelled
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 363LP0200X (363LP0200X); Federal specialty code 363LP0808X (363LP0808X)
Mailing address
650 Clark Way, Palo Alto, CA, 94304
NPI first listed
2012-04-19
NPI last updated
2013-10-28

This is when the NPI record was last certified, not a medical board exam.