KRISTINA KEHOSKIE CLARK (NPI# 1164706586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164706586 |
Entity Type | Individual |
Full Name | KRISTINA KEHOSKIE CLARK |
Practice Address |
117 Bennoch Rd Orono ME 04473-3620 |
Mailing Address |
185 Old Military Rd Lake Placid NY 12946-1939 |
Practice Telephone | 2078660532 |
Enumeration Date | 2011-10-04 |
Last Update Date | 2016-12-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
039523 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063871341 | Kristina Clark | Registered Nurse | 1631 Nw Saint Lucie West Blvd Ste 208, Port Saint Lucie, FL 34986-1963 | 2016-02-16 |
1932733037 | Kristina Clark | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-02-27 |
1083173702 | Kristina M Clark | Counselor | 3375 Us Route 60, Huntington, WV 25705-2837 | 2019-03-13 |
1598140147 | Kristina Clark | Nurse Practitioner | 625 19th St S, Jt 807, Birmingham, AL 35249-6810 | 2015-07-24 |
1487905451 | Kristina Inez Clark | Speech-Language Pathologist | 1270 Belmont Ave, Schenectady, NY 12308-2104 | 2012-09-30 |
1679836605 | Kristina M Clark | Registered Nurse | 700 Mcclellan St, Schenectady, NY 12304-1019 | 2012-06-25 |
1689858755 | Kristina Clark | Counselor | 3408 Andover St, Oakland, CA 94609-2817 | 2007-12-24 |
1114058906 | Kristina L Clark | Registered Nurse | 2045 Franklin St, Denver, CO 80205-5437 | 2007-03-07 |
Street Address |
117 BENNOCH RD |
City | ORONO |
State | ME |
Zip Code | 04473-3620 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780746131 | Orono Operations, LLC | Skilled Nursing Facility | 117 Bennoch Rd, Orono, ME 04473-3620 | 2006-12-14 |
1437785920 | Rebeecca Orcutt | Occupational Therapist | 117 Bennoch Rd, Orono, ME 04473-3620 | 2020-03-17 |
1023652138 | Kathryn J Day | Occupational Therapy Assistant | 117 Bennoch Rd, Orono, ME 04473-3620 | 2019-10-31 |
1518422898 | Jodi Evenson | Speech-Language Pathologist | 117 Bennoch Rd, Orono, ME 04473-3620 | 2019-01-31 |
1588131247 | Jesse Dale Damron | Occupational Therapy Assistant | 117 Bennoch Rd, Orono, ME 04473 | 2018-10-30 |
1124546379 | Milessa Joy Gatheright | Occupational Therapy Assistant | 117 Bennoch Rd, Orono, ME 04473-3620 | 2017-09-07 |
1003355777 | Emily Welch | Physical Therapist | 117 Bennoch Rd, Orono, ME 04473-3620 | 2017-02-15 |
1285188052 | Elexa Nickerson | Physical Therapy Assistant | 117 Bennoch Rd, Orono, ME 04473-3620 | 2016-08-10 |
1144692401 | Jennifer E Fiske | Speech-Language Pathologist | 117 Bennoch Rd, Orono, ME 04473-3620 | 2015-10-27 |
1699173815 | Lindsey Mcadam | Physical Therapist | 117 Bennoch Rd, Orono, ME 04473-3620 | 2014-12-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225321961 | Orono Med Now | Clinic/Center | 16 Mill Street, Uite 4, Orono, ME 04473 | 2011-05-26 |
1134380512 | Renee Light | Social Worker | 6 Stillwater Ave, Orono, ME 04473 | 2008-06-19 |
1124048418 | Constance A Poulin | Social Worker | 6 Stillwater Avenue, University Mall, Orono, ME 04473 | 2006-07-20 |
1356683981 | Penobscot Community Health Center | Clinic/Center | 9 Alumni Dr, Orono, ME 04473 | 2013-03-21 |
1093998536 | Cecil A Philpott | Social Worker | 6 Stillwater Avenue, University Mall, Orono, ME 04473 | 2007-12-06 |
1770799140 | Rachael Marie Tyler | Social Worker | 6 Stillwater Avenue, University Mall, Orono, ME 04473 | 2007-05-15 |
1235354051 | Jessica Ledier Daigle | Social Worker | 6 Stillwater Avenue, University Mall, Orono, ME 04473 | 2007-04-16 |
1861557423 | John S Hale Jr. | Psychologist | 69 Main St, Orono, ME 04473 | 2006-12-26 |
1750948444 | Lauren Marcella Daigle | Nurse Anesthetist, Certified Registered | 109 Gould Rd, Orono, ME 04473-3038 | 2019-05-29 |
1770652331 | Elizabeth King Mcconnon | Counselor | 2269 Essex St, Orono, ME 04473-3043 | 2006-11-07 |
Find all providers in zip 04473 |
Taxonomy Code | 2251G0304X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Geriatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043644909 | Amy M. Lilley | Physical Therapist | 121 Holmes Rd, Scarborough, ME 04074-8419 | 2013-08-28 |
1356505697 | Lisa Ann Connolly | Physical Therapist | 7 Plaza Dr, Scarborough, ME 04074-8996 | 2008-07-16 |
1841483849 | Mary Gilbert Berg | Physical Therapist | 378 Middle Rd, Falmouth, ME 04105-1231 | 2007-08-22 |
1396352548 | Matthew Vachon | Physical Therapist | 15 Strawberry Ave, Lewiston, ME 04240-5941 | 2020-09-30 |
1821607292 | Katherine Alayne Marchessault | Physical Therapist | 4 White St, Rockland, ME 04841-2953 | 2020-07-30 |
1205495330 | Kate Anderson | Physical Therapist | 1 Medical Center Dr, Biddeford, ME 04005-9422 | 2019-06-12 |
1588100523 | Linda Hepfner | Physical Therapist | 37 Gray Birch Dr, Augusta, ME 04330-6105 | 2017-01-15 |
1851639298 | Shannon Kellie Pietras | Physical Therapist | 2 Davis Point Ln, Suite 1a, Cape Elizabeth, ME 04107-2620 | 2013-01-18 |
1306102900 | David S. White | Physical Therapist | 2 Davis Point Ln, Suite 1a, Cape Elizabeth, ME 04107-2620 | 2012-04-09 |
1811132111 | Karen Lynn Loisel | Physical Therapist | 7 Plaza Dr, Scarborough, ME 04074-8996 | 2008-12-16 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on KRISTINA KEHOSKIE CLARK.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.