Clark, Kenneth Bryan

Clark, Kenneth Bryan is an individual health care provider with primary practice located at 810 Mitchell Ave , Salisbury NC 28144-6253. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Clark, Kenneth Bryan can be contacted via phone (704) 603-1403.

Contact Information

Primary practice address
810 Mitchell Ave Salisbury NC 28144-6253
Phone: (704) 603-1403
Fax: (704) 603-1517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 103056 North Carolina

Profile Details

NPI number 1417903287
LBN Legal business name Clark, Kenneth Bryan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Sep 11th, 2023 - about 3 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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