DR. Kenneth A Clark, MD

NPI #1902880370 in Galax, Virginia

Provider Information

NPI Number: 1902880370
Entity Type: Individual
Name: DR. Kenneth A Clark, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Nov 30, 2005
Last Updated: Oct 24, 2014

Practice Location

Address: 199 HOSPITAL DR
Address 2: SUITE 5
City: Galax
State: Virginia
ZIP Code: 24333-2454
Phone: (276) 236-6136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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