Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristin Elise Clark, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164764585

Kristin Elise Clark, MD is a Student in an Organized Health Care Education/Training Program in Plymouth, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Plymouth, MN

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 — (414) 955-4575

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 64496 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1164764585
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2013
Last updated in NPPESSeptember 26, 2018

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