Kevin R Clark DO

NPI 1053373399 - Emergency Medicine - 207P00000X

NPI Details
NPI 1053373399
Gender Male
Enumeration Date 04/03/2006
Last Updated 03/17/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
420 N CENTER ST
HICKORY NC, 28601-5046, US
Phone (843) 237-3378
Fax (843) 237-5073
Business Location
PO BOX 60359
CHARLOTTE NC, 28260-0359, US
Phone (843) 237-3378
Fax (843) 237-5073
Toxanomy
Taxonomy Code 207P00000X
License State North Carolina
License Number 200300020
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According to our database, Kevin R Clark DO NPI is 1053373399, taxonomy code is 207P00000X and license number is 200300020, license state is located at North Carolina. Kevin R Clark DO physically located at 420 N Center St, Hickory NC, 28601-5046. NPI Number Kevin R Clark DO has the Individual type.

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1053373399 NPI number is provided on an as is basis without warranty of any kind. 1053373399 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin R Clark DO are for informational purposes only.