Clark, Kevin S

Clark, Kevin S is an sole proprietor health care provider with primary practice located at 312 Main St 2Nd Floor, Norwich VT 05055-4418. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Clark, Kevin S can be contacted via phone (802) 649-5252.

Contact Information

Primary practice address
312 Main St 2Nd Floor Norwich VT 05055-4418
Phone: (802) 649-5252
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 1685R New Hampshire

Profile Details

NPI number 1972676617
LBN Legal business name Clark, Kevin S
Credentials LMT, R.A.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2006
Last updated Nov 24th, 2013 - about 12 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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