Search › Florida › 171100000X
Kevin Clark, AP
NPI 1033361381 · on the registry since 2008 · sole proprietor
Practice
- Address
- 130 N Dixie Hwy
Hollywood, FL 33020 - Phone
- (954) 719-4078
- Fax
- (186) 661-0623
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-10-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida