Kendall Clark is a student in an organized health care education training program in Hattiesburg, MS. 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. Kendall Clark NPI is 1639756737. 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:
5001 HARDY ST
HATTIESBURG, MS
ZIP 39402-308
Phone: (296) 396-3601
The NPI 1639756737 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/25/2021 and was last updated on 3/25/2021.