Kenneth Clark

NPI 1821119959 · on the registry since 2007 · sole proprietor

Practice

Address: 4211 Hospital St Ste 104
Pascagoula, MS 39581
Phone: (228) 762-1940
Fax: (228) 762-7786
Organisation at this address: Plaza Pharmacy Inc
John W Degroote Pc
Robert B. Burns, Md
W. J. Manuel, Md, Pa
Coastal Cardiology, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 26

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-11-15

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 Mississippi