Clark, Kevin John

Clark, Kevin John is an individual health care provider with primary practice located at 411 12Th Ave Suite 200, Seattle WA 98122-5599. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is his primary health care specialty. Clark, Kevin John can be contacted via phone (206) 328-4276.

Contact Information

Primary practice address
411 12Th Ave Suite 200 Seattle WA 98122-5599
Fax: (206) 328-1037
Website:

Health care specialties

Profile Details

NPI number 1790115004
LBN Legal business name Clark, Kevin John
Credentials LCPO
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2013
Last updated Nov 22nd, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790115004 NPPES
Washington MEDICAID 9015561

Popular Providers