Clark, Kirby P

Clark, Kirby P is an individual health care provider with primary practice located at 4006 Johnathan St , Waterloo IA 50701-9387. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Clark, Kirby P can be contacted via phone (319) 236-2700.

Contact Information

Primary practice address
4006 Johnathan St Waterloo IA 50701-9387
Phone: (319) 236-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 42049-20 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036126457 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35956 Iowa

Profile Details

NPI number 1407893795
LBN Legal business name Clark, Kirby P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Nov 21st, 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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