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

Dr. Kenneth David Clark, MD

Individual provider Psychiatry Physician · NPI 1548364920

Dr. Kenneth David Clark, MD is a Psychiatry Physician in Memphis, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2006
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

1030 Jefferson Ave Dept OF Psychiatry
Memphis, TN 38104-2127
Phone: (901) 523-8990
Fax: (901) 577-7467
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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 39869 (TN)

Record details

NPI number1548364920
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 7, 2006
Last updated in NPPESJuly 8, 2007

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