Kenneth John Clark
NPI #1104487149 in Glen Ellyn, Illinois
Provider Information
- NPI Number
- 1104487149
- Entity Type
- Individual
- Name
- Kenneth John Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Hearing Instrument Specialist
- Enumeration Date
- Jun 20, 2019
- Last Updated
- Jun 25, 2019
Practice Location
- Address
- 462 ROOSEVELT RD
- City
- Glen Ellyn
- State
- Illinois
- ZIP Code
- 60137-5611
- Phone
- (630) 432-9807
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hearing Instrument Specialist |
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Organizations
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|---|---|
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