Kenneth Clark

NPI 1275056889 · on the registry since 2017

Practice

Address: 304 E Broadway St Ste 20
Mount Pleasant, MI 48858
Phone: (989) 317-3328
Fax: (989) 317-3329
Organisation at this address: Boveda Home Care
Mmh Counseling Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 237700000X
237700000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-07-21

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 Michigan