BYRON KEMP CLARK NPI 1871392860

NPI Information

  • NPI: 1871392860
  • Provider Name: BYRON KEMP CLARK
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • :
  • Address: 5056 W 4TH ST # 100
    HATTIESBURG, MS
    ZIP 39402
  • Phone: (601) 410-6525

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NPI Details

BYRON KEMP CLARK is a family nurse practitioner in Hattiesburg, MS. BYRON KEMP CLARK NPI is 1871392860. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

5056 W 4TH ST # 100
HATTIESBURG, MS
ZIP 39402-069
Phone: (601) 410-6525
Fax: (949) 288-0396

The provider's authorized official is Byron Clark .
The authorized official title is Office Manager/ Clinic Owner and has the following contact phone number (601) 410-6525.

The enumeration date for this NPI number is 3/11/2025 and was last updated on 6/11/2025.

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
1363LF0000XNurse PractitionerFamilyYes

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: 11/21/2025

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