Clark, Kenneth J

Clark, Kenneth J is an individual health care provider with primary practice located at 191 Biltmore Ave , Asheville NC 28801-4109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Clark, Kenneth J can be contacted via phone (828) 254-0881.

Contact Information

Primary practice address
191 Biltmore Ave Asheville NC 28801-4109
Phone: (828) 254-0881
Fax: (828) 350-3628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 22555 North Carolina

Profile Details

NPI number 1811986805
LBN Legal business name Clark, Kenneth J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811986805 NPPES
North Carolina Other 1407948 UNITED HEALTHCARE
North Carolina Other 22670 UNITED HEALTHCARE
North Carolina MEDICAID 8922670 UNITED HEALTHCARE

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