Clark, Kevin David

Clark, Kevin David is an individual health care provider with primary practice located at 1099 Ohio River Blvd Critmore Professional Building, Sewickley PA 15143-2056. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Clark, Kevin David can be contacted via phone (412) 741-6776.

Contact Information

Primary practice address
1099 Ohio River Blvd Critmore Professional Building Sewickley PA 15143-2056
Phone: (412) 741-6776
Fax: (412) 741-1390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD-049725-L Pennsylvania

Profile Details

NPI number 1447366976
LBN Legal business name Clark, Kevin David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447366976 NPPES
Pennsylvania MEDICAID 0014256600001

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