Search › North Carolina › 363A00000X
Kenneth Clark, PA
NPI 1417903287 · on the registry since 2006
Practice
- Address
- 810 Mitchell Ave
Salisbury, NC 28144 - Phone
- (704) 603-1403
- Fax
- (704) 603-1517
- Organisation at this address
- Novant Health Medical Group, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 19
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-11
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