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

Dr. Kevin Clark

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588292619

Dr. Kevin Clark is an Internal Medicine in Baltimore, Maryland. Graduated from Washington University School of Medicine in 2020, 6 years ago. Registered with an NPI since 2020.

Years since qualifying
6
Trained at
Washington University School of Medicine
In the registry since
2020

Practice location Address checks out

22 S Greene St Rm N3E09
Baltimore, MD 21201-1544
Phone: (610) 764-9986
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1588292619
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2020
Last updated in NPPESApril 1, 2020
Certification dateApril 1, 2020

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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