MR. Kevin S Clark, M.M.S., PA-C
NPI #1235370743 in Belleville, Illinois
Provider Information
- NPI Number
- 1235370743
- Entity Type
- Individual
- Name
- MR. Kevin S Clark, M.M.S., PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- M.M.S., PA-C
- Enumeration Date
- Mar 12, 2009
- Last Updated
- Jan 3, 2013
Practice Location
- Address
- 4500 MEMORIAL DR
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226-5360
- Phone
- (618) 233-7750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Emergency Medicine |
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