Kevin Robert Clark
Family Doctor - Addiction Medicine
3211 Woodland Ave
Kansas City
, Missouri 64109-2073
Kevin Robert Clark
Family Doctor - Addiction Medicine
3211 Woodland Ave
Kansas City
, Missouri 64109-2073
(816) 931-6500
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About
Features
Specialties
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Kevin Robert Clark
- 3211 Woodland Ave
- Kansas City, MO
- Zip : 64109-2073
- Phone : (816) 931-6500
Second Address
- Kevin Robert Clark
- 3211 Woodland Ave
- Kansas City, MO
- Zip : 64109-2073
- Phone : (816) 931-6500
Reviews
FAQs
Where did Kevin Robert Clark attend graduate school?
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What type of doctor is Kevin Robert Clark
In what state does Kevin Robert Clark practice in?
Where is Kevin Robert Clark ’s practice located?
What is Kevin Robert Clark ’s gender?
Is Kevin Robert Clark a sole practitioner?
Is Kevin Robert Clark accepting new patients?
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Does Kevin Robert Clark offers telemedicine?
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Does Kevin Robert Clark have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 2012012826 | MO |
National Provider Identifier
| NPI | 1508077090 |
|---|---|
| Provider Name | Kevin Robert Clark |
| First Address | Kansas City, MO 64109-2073 |
| Second Address | Kansas City, MO 64109-2073 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2007 |
| Last Update Date | 16/03/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.