Dr MARISOL C CLARK is a female medical professional, specializing in Family Medicine. She graduated in 2006 from University Of Louisville School Of Medicine.
KENTUCKY MSO LLC
1502 OXFORD DR
SUITE 100
GEORGETOWN
KY
403248096
Tel: 5025703785
| Npi | 1578613030 |
| Pac Id | 1850557646 |
| Professional Enrollment Id | I20161104000172 |
| Last Name | CLARK |
| First Name | MARISOL |
| Middle Name | C |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
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| Organization Legal Name | KENTUCKY MSO LLC |
| Group Practice Pac Id | 0749450633 |
| Number Of Group Practice Members | 31 |
| Line 1 Street Address | 1502 OXFORD DR |
| Line 2 Street Address | SUITE 100 |
| Marker Of Address Line 2 Suppression | |
| City | GEORGETOWN |
| State | KY |
| Zip Code | 403248096 |
| Phone Number | 5025703785 |
| Hospital Affiliation Ccn 1 | 180101 |
| Hospital Affiliation Lbn 1 | GEORGETOWN COMMUNITY HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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