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Marisol C Clark, MD

Family Medicine Physician in Georgetown, KY · enumerated 2007.

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

National Provider Identifier

1578613030

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Registry record

Entity type Individual (Type 1)
Name Marisol C Clark
Credential MD
Sex Female
Practice address 1138 Lexington Rd Ste 290, Georgetown, KY, 40324
Phone (502) 863-0721
Fax (502) 863-6104
Enumeration date Jan 10, 2007
Last updated in NPPES Aug 17, 2023

Taxonomy & licenses

207QA0401X Addiction Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License 49101 (KY) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 49101 (KY) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
7100443440 Medicaid KY -

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 Marisol Clark?
The National Provider Identifier (NPI) for Marisol Clark is 1578613030, a Type 1 (individual) record in the CMS NPPES registry.
Where does Marisol Clark practice?
The practice location on file with NPPES is in Georgetown, KY. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-08-17.