Clark, Richard Kenneth

Clark, Richard Kenneth is an individual health care provider with primary practice located at 1630 Chippewa Dr , Rhinelander WI 54501-9503. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Clark, Richard Kenneth can be contacted via phone (715) 361-5480.

Contact Information

Primary practice address
1630 Chippewa Dr Rhinelander WI 54501-9503
Phone: (715) 361-5480
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3766-23 Wisconsin

Profile Details

NPI number 1235580903
LBN Legal business name Clark, Richard Kenneth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2016
Last updated Jun 23rd, 2016 - about 10 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.

Request for update

Popular Providers