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Kyle Clark, PA-C
NPI 1801415864 · on the registry since 2020
Practice
- Address
- 5666 E State St
Rockford, IL 61108 - Phone
- (815) 226-2000
- Organisation at this address
- Kbclinic
Pointcore, Inc.
Beckford Health, Llc
Rock Valley Pathologist
Rockford Radiology AssocInferred from a shared address, not stated in the registry. - Clinicians at this address
- 158
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-04-10
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