Clark, Kenny

Clark, Kenny is an sole proprietor health care provider with primary practice located at 3686 Ingleside Rd , Shaker Heights OH 44122-5056. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Clark, Kenny can be contacted via phone (216) 816-8129.

Contact Information

Primary practice address
3686 Ingleside Rd Shaker Heights OH 44122-5056
Phone: (216) 816-8129
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1174373252
LBN Legal business name Clark, Kenny
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2024
Last updated Mar 25th, 2024 - about 9 months 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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