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

Dr. Keith Terrill Clark, MD

Individual provider Emergency Medicine Physician · NPI 1437167616

Dr. Keith Terrill Clark, MD is an Emergency Medicine Physician in Cincinnati, Ohio. Licensed in Kentucky and Ohio. Registered with an NPI since 2006.

Licensed in
KY, OH
In the registry since
2006
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

400 Broadway St
Cincinnati, OH 45202-3312
Phone: (513) 629-1482
Fax: (513) 629-1711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 35.058088 (OH)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 22095 (KY)

Record details

NPI number1437167616
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 4, 2006
Last updated in NPPESJuly 8, 2007
Mailing address400 Broadway St, Cincinnati, OH 45202-3312

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