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

Dr. Casey Lane Clark

Individual provider Pediatrics Physician · NPI 1306340286

Dr. Casey Lane Clark is an Internal Medicine in Winchester, Kentucky. Graduated from University of Kentucky College of Medicine in 2018, 8 years ago. Practices with Kentuckyone Health Medical Group Inc, a 252-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
8
Trained at
University of Kentucky College of Medicine
Licensed in
KY
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

1850 Bypass Rd
Winchester, KY 40391-2300
Phone: (859) 744-5111
Fax: (859) 744-1177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 900 S Limestone Ctw 304, Lexington, KY 40536-0001 — (859) 323-6561

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 56386 (KY)
Pediatrics Physician Taxonomy 208000000X · Licence 56386 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306340286
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2018
Last updated in NPPESMay 11, 2022
Certification dateMay 11, 2022
Mailing addressPo Box 936, London, KY 40743-0936

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Kentuckyone Health Medical Group Inc — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Winchester