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Kenny Clark
NPI 1174373252 · on the registry since 2024 · sole proprietor
Practice
- Address
- 3686 Ingleside Rd
Shaker Heights, OH 44122 - Phone
- (216) 816-8129
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Sex
- Male
- Record last updated
- 2024-03-25
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 Ohio