Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Adam Jeffery Clark, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053016139

Adam Jeffery Clark, MD is a Student in an Organized Health Care Education/Training Program in Lexington, Kentucky. Licensed in Kentucky. Registered with an NPI since 2023.

Licensed in
KY
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

245 Fountain Ct
Lexington, KY 40509-2792
Phone: (859) 323-6021
Fax: (859) 323-1670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 1053016139 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053016139
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2023
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024

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