KRISTINA KEHOSKIE CLARK


Address: 117 Bennoch Rd, Orono, ME 04473-3620
Phone: 2078660532

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).

Provider Overview

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

Taxonomy

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

Other Providers KRISTINA CLARK

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

Office Location

Street Address 117 BENNOCH RD
City ORONO
State ME
Zip Code 04473-3620

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2251G0304X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Geriatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City ORONO
Zip Code 04473

Improve Information

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Dataset Information

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.

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