Clarke, Brian

Clarke, Brian is an individual health care provider with primary practice located at 20 Medical Village Dr Ste 132 , Edgewood KY 41017-5406. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Clarke, Brian can be contacted via phone (859) 578-5880.

Contact Information

Primary practice address
20 Medical Village Dr Ste 132 Edgewood KY 41017-5406
Phone: (859) 578-5880
Fax: (859) 578-5881
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 57309 Kentucky

Profile Details

NPI number 1366804536
LBN Legal business name Clarke, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2016
Last updated Mar 7th, 2023 - about 2 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 1366804536 NPPES
Kentucky Other 57309 MEDICAL LICENSE
Kentucky Other 21718 MEDICAL LICENSE

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