Mrs Kathryn Gore Clark, CCC-SLP - Speech-Language Pathologist in Fort Rucker, AL

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Mrs Kathryn Gore Clark, CCC-SLP is a Speech-language Pathologist based in Fort Rucker, Alabama. Mrs Kathryn Gore Clark is licensed to practice in Alabama (license number 2820) and her current practice location is 301 Andrews Avenue, Edis, Fort Rucker, Alabama. She can be reached at her office (for appointments etc.) via phone at (808) 772-1393.

NPI number for Mrs Kathryn Gore Clark is 1760606040 and her current mailing address is 112 N Harris Dr, Fort Rucker, Alabama. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760606040.

Contact Information

Mrs Kathryn Gore Clark, CCC-SLP
301 Andrews Avenue, Edis,
Fort Rucker, AL 36362
(808) 772-1393
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Kathryn Gore Clark
GenderFemale
SpecialitySpeech-language Pathologist
Location301 Andrews Avenue, Fort Rucker, Alabama
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1760606040
  • Provider Enumeration Date: 04/11/2007
  • Last Update Date: 03/19/2009

Medical Identifiers

Medical identifiers for Mrs Kathryn Gore Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760606040NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist SP 955 (Hawaii)Secondary
235Z00000XSpeech-language Pathologist 2820 (Alabama)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kathryn Gore Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kathryn Gore Clark, CCC-SLP
112 N Harris Dr,
Fort Rucker, AL 36362-2338

Ph: (808) 772-1393		Mrs Kathryn Gore Clark, CCC-SLP
301 Andrews Avenue, Edis,
Fort Rucker, AL 36362

Ph: (808) 772-1393

Reviews and Comments


Speech-Language Pathologist in Fort Rucker, AL

Dr. Lydia Malloy, AU.D., CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 301 Andrews Ave, Fort Rucker, AL 36362
Phone: 334-255-7838    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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