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

Individual provider Pediatrics Physician · NPI 1952563611

Dr. Jameel Tamir Clark, MD is a Pediatrics Physician in Louisville, Kentucky. Licensed in Georgia, Kentucky and Tennessee. Registered with an NPI since 2008.

Licensed in
GA, KY, TN
In the registry since
2008
Specialties on file
3
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

4420 Dixie Hwy Ste 126
Louisville, KY 40216-2994
Phone: (502) 810-3780
Fax: (502) 394-3607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence TP415 (KY)
Pediatrics Physician Taxonomy 208000000X · Licence 002969 (GA)
Pediatrics Physician Taxonomy 208000000X · Licence 47695 (TN)

Record details

NPI number1952563611
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2008
Last updated in NPPESMarch 26, 2021
Certification dateMarch 26, 2021

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