Search › North Carolina › 101YA0400X
Kevin Clark, LCAS-A
NPI 1417496829 · on the registry since 2017
Practice
- Address
- 150 Boiling Springs Cir
Southern Pines, NC 28387 - Phone
- (910) 690-2803
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-25
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 North Carolina