Clark, Barry Kent

Clark, Barry Kent is an individual health care provider with primary practice located at 100 W 7Th St , Okmulgee OK 74447-5007. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Clark, Barry Kent can be contacted via phone (918) 758-1910.

Contact Information

Primary practice address
100 W 7Th St Okmulgee OK 74447-5007
Phone: (918) 758-1910
Fax: (918) 756-1270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 584 Oklahoma

Profile Details

NPI number 1962413070
LBN Legal business name Clark, Barry Kent
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Mar 13th, 2009 - about 16 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 1962413070 NPPES
Oklahoma Other 300522348 MEDICARE KOWETA GROUP

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