DR. Kevin Clark is a student in an organized health care education training program in Baltimore, MD. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Kevin Clark NPI is 1588292619. 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:
22 S GREENE ST RM N3E09
BALTIMORE, MD
ZIP 21201-544
Phone: (610) 764-9986
The enumeration date for this NPI number is 4/1/2020 and was last updated on 4/1/2020.