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

Brian K Clark Sr.

Individual provider Licensed Practical Nurse · NPI 1992363345

Brian K Clark Sr. is a Licensed Practical Nurse in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2019

Practice location Address checks out

15201 Judson Dr
Cleveland, OH 44128-1956
Phone: (216) 855-1969
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 169548 (OH)

Record details

NPI number1992363345
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 31, 2019
Last updated in NPPESMay 31, 2019
Mailing address15201 Judson Dr, Cleveland, OH 44128-1956

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