Clark, Kevin R

Clark, Kevin R is an individual health care provider with primary practice located at 420 N Center St , Hickory NC 28601-5046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Clark, Kevin R can be contacted via phone (843) 237-3378.

Contact Information

Primary practice address
420 N Center St Hickory NC 28601-5046
Phone: (843) 237-3378
Fax: (843) 237-5073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 200300020 North Carolina

Profile Details

NPI number 1053373399
LBN Legal business name Clark, Kevin R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Mar 17th, 2009 - about 15 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 1053373399 NPPES
North Carolina MEDICAID 891293C
North Carolina Other 1293C
North Carolina Other P00251742

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