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Dr. Katherine A Clark, DO

Family Medicine Physician in Beavercreek, OH · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366424798

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Registry record

Entity type Individual (Type 1)
Name Dr. Katherine A Clark
Credential DO
Sex Female
Practice address 4172 Indian Ripple Rd Ste A, Beavercreek, OH, 45440
Fax (937) 431-3776
Enumeration date Nov 21, 2005
Last updated in NPPES Nov 25, 2020

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 34004845 (OH) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
0935368 Medicaid OH -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Katherine Clark?
The National Provider Identifier (NPI) for Katherine Clark is 1366424798, a Type 1 (individual) record in the CMS NPPES registry.
Where does Katherine Clark practice?
The practice location on file with NPPES is in Beavercreek, OH. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-25.