Kerry R Clark M.D.

  • NPI 1093802365
According to our database, the NPI number for Kerry R Clark M.D. is 1093802365 and activated since 17 years ago. Kerry R Clark M.D. is an individual provider who specializes in Internal Medicine, and the primary practice location is 25751 Mcbean Pkwy, Valencia, CA 91355. You can also contact Kerry R Clark M.D. via telephone number is (661) 284-3100. Provider NPI information was last updated on 06/24/2009.

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Overview of Kerry R Clark M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 10/06/2006
  • Last updated: 06/24/2009

Primary Scrop of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: G60150
  • License State: CA

Provider Mailing Address

  • Address: 23388 Mulholland Dr
    Mailstop 62
    Woodland Hills, CA 91364
  • Phone: 818-876-1636
  • Fax: 661-290-3310

Provider Practice Location

  • Address: 25751 Mcbean Pkwy
    Ste 210
    Valencia, CA 91355
  • Phone: 661-284-3100
  • Fax: 661-290-3310

Scope of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: G60150
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 00G771370
  • Identifier Type: Other
  • Identifier State: CA
  • Issuer: BLUE SHIELD

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kerry R Clark M.D.?
  • A: The npi number for Kerry R Clark M.D. is 1093802365.
  • Q: What are Kerry R Clark M.D.'s specialties?
  • A: Kerry R Clark M.D.'s specialties are Internal Medicine and different specialities.
  • Q: What is the medical license for Kerry R Clark M.D.?
  • A: The medical license number for Kerry R Clark M.D. is G60150 and issued in CA in USA.
  • Q: Where is Kerry R Clark M.D. practice location?
  • A: Kerry R Clark M.D. is practicing at 25751 Mcbean Pkwy, Valencia, CA 91355.
  • Q: How to contact Kerry R Clark M.D.?
  • A: You can contact Kerry R Clark M.D. via 661-284-3100.