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DR. KEVIN CLARK DAOM L. AC NPI 1265736508


NPI Information

NPI: 1265736508
Provider Name: DR. KEVIN CLARK, DAOM, L. AC
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
415 ROUTE 34
SUITE 210
COLTS NECK, NJ
ZIP 07722
Phone: (302) 249-0143
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DR. Kevin Clark, DAOM, L. AC is an acupuncturist in Colts Neck, NJ. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. DR. Kevin Clark, DAOM, L. AC NPI is 1265736508. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

415 ROUTE 34
SUITE 210
COLTS NECK, NJ
ZIP 07722-522
Phone: (302) 249-0143
Fax: (732) 775-3515

The enumeration date for this NPI number is 12/30/2010 and was last updated on 2/10/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171100000XAcupuncturist25MZ00104200NEW JERSEYYes
2171100000XAcupuncturistCQ-0000029DELAWARENo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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