Search › Illinois › 1223G0001X
Kyle Clark, D.M.D
NPI 1639521206 · on the registry since 2016
Practice
- Address
- 113 Cross Creek Blvd
Salem, IL 62881 - Phone
- (618) 548-4480
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-07-07
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 Illinois