Clark, Kevin L

Clark, Kevin L is an individual health care provider with primary practice located at 2772 Rutland Rd , Davidsonville MD 21035-1228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Clark, Kevin L can be contacted via phone (410) 721-2273.

Contact Information

Primary practice address
2772 Rutland Rd Davidsonville MD 21035-1228
Phone: (410) 721-2273
Fax: (410) 798-4069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D47201 Maryland

Profile Details

NPI number 1578776217
LBN Legal business name Clark, Kevin L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
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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