ANDREA WIGGINS CLARK


Address: 9482 Brownsboro Rd, Louisville, KY 40241-1118
Phone: 5024126322

ANDREA WIGGINS CLARK (NPI# 1871151407) 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) 1871151407
Entity Type Individual
Full Name ANDREA WIGGINS CLARK
Credential DVM
Practice Address 9482 Brownsboro Rd
Louisville
KY 40241-1118
Practice Telephone 5024126322
Mailing Telephone 5024126322
Enumeration Date 2019-05-29
Last Update Date 2019-05-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246Z00000X Specialist/Technologist, Other 147578 KY Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 9482 BROWNSBORO RD
City LOUISVILLE
State KY
Zip Code 40241-1118

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NPI Name Taxonomy Address Enumeration
1164033353 Tyler Roberts Physician Assistant Private, Louisville, KY 40241 2020-08-12
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1164990396 Tiffany Elizabeth Gallucci Nurse Practitioner 4915 Norton Healthcare Boulevard, Louisville, KS 40241 2018-11-06
1952876146 Ashley Lynne Johnson Belcher Psychologist 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 2018-10-04
1265935977 Family Podiatry Center Pllc Podiatrist 9850 Von Allmen Ct, Louisville, KY 40241 2018-03-09
1346767472 Bridgett Lin Youngblood Case Manager/Care Coordinator 4313 Brownsboro Glen Rd, Louisville, KY 40241 2017-08-29
1518375690 Amir Shahla Dentist 10500 Fischer Park Dr, Louisville, KY 40241 2014-08-01
1255741781 Alicia M Durham Marriage & Family Therapist 3900 Riveroaks Ln, Louisville, KY 40241 2014-05-06
1962826719 Applied Behavioral Consulting, LLC Community/Behavioral Health 4517 Shenandoah Drive, Louisville, KY 40241 2014-02-14
1336579176 Nicholas Weickel Physical Therapist 9880 Angie's Way, Suite 100, Louisville, KY 40241 2013-11-14
Find all providers in zip 40241

Taxonomy Information

Taxonomy Code 246Z00000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other

Taxonomy Definition

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558602110 Kentucky Diagnostics Specialist/Technologist, Other 7321 New L Agrange Road, Suite 207, Louisville, KY 40222 2013-03-07
1053643346 Aida Sehic Specialist/Technologist, Other 3005 Springcrest Dr, Louisville, KY 40241-2755 2010-02-11
1831348069 Elmer M Tribble Specialist/Technologist, Other 9205 Rainbow Springs Ct, Apt. 5, Louisville, KY 40241-2243 2008-09-11
1831434505 Lori Sexton Specialist/Technologist, Other 100 Mallard Creek Rd, Suite 390, Louisville, KY 40207-4194 2012-12-06
1790020469 Hanna Vaughn Specialist/Technologist, Other 100 Mallard Creek Rd, Suite 390, Louisville, KY 40207-4194 2012-12-06
1639414303 Tina Pennington Specialist/Technologist, Other 100 Mallard Creek Rd, Suite 390, Louisville, KY 40207-4194 2012-12-06
1982950390 Julie Young Specialist/Technologist, Other 100 Mallard Creek Rd, Suite 390, Louisville, KY 40207-4194 2012-08-03
1922323328 Lori Ann Jones Specialist/Technologist, Other 800 Zorn Ave, Routing #11c, Louisville, KY 40206-1433 2010-03-30
1568603306 Tiffany Thompson Specialist/Technologist, Other 800 Zorn Ave, Louisville, KY 40206-1433 2009-03-06
1922048438 Trisha Gallagher Specialist/Technologist, Other 571 S Floyd St, Suite 100, Louisville, KY 40202-3818 2006-06-07
Find all providers in LOUISVILLE

Competitor

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City LOUISVILLE
Zip Code 40241

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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