Clark, Kevin Lee

Clark, Kevin Lee is an individual health care provider with primary practice located at 150 Boiling Springs Cir , Southern Pines NC 28387-3306. 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, Kevin Lee can be contacted via phone (910) 690-2803.

Contact Information

Primary practice address
150 Boiling Springs Cir Southern Pines NC 28387-3306
Phone: (910) 690-2803
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS-30345 North Carolina

Profile Details

NPI number 1417496829
LBN Legal business name Clark, Kevin Lee
Credentials LCAS-A
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2017
Last updated Jun 25th, 2025 - about last year

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.

Request for update

Popular Providers