Clarke, Kevin M

Clarke, Kevin M is an individual health care provider with primary practice located at 48 Vip Way , Fairmont WV 26554. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Clarke, Kevin M can be contacted via phone (304) 366-6200.

Contact Information

Primary practice address
48 Vip Way Fairmont WV 26554
Phone: (304) 366-6200
Fax: (304) 366-4927
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 15547 West Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 15547 West Virginia

Profile Details

NPI number 1487664835
LBN Legal business name Clarke, Kevin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Aug 15th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487664835 NPPES
West Virginia Other 001722242 BCBS WV
West Virginia MEDICAID 0041752000 BCBS WV

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