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:
Health care specialties
| Specialty | Code | License # | 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 3 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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