Clark, Kenneth
Clark, Kenneth is an individual health care provider with primary practice located at 2025 E Newport Ave , Milwaukee WI 53211-2906. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Clark, Kenneth can be contacted via phone (414) 961-3841.Contact Information
Primary practice address
2025 E Newport Ave
Milwaukee WI 53211-2906
Phone: (414) 961-3841
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 22673 | Wisconsin |
Profile Details
| NPI number | 1356325518 |
|---|---|
| LBN Legal business name | Clark, Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Aug 13th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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