Kevin Clark, MD

NPI 1235127291 · on the registry since 2005 · sole proprietor

Practice

Address: 425 Medical Dr
Ste 101
Bountiful, UT 84010
Phone: (801) 298-9409
Fax: (801) 292-1271
Organisation at this address: Wellsprings Llc
Marlin M Forsyth
Master Opticians
Mvp Pharmacy Llc
Rodney M. Jex Dpm
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 26

Registry record

Primary taxonomy: Surgery Physician
208600000X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-10-19

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 Utah