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

Dr. Kevin N Clark, MD

Individual provider Surgery Physician · NPI 1235127291

Dr. Kevin N Clark, MD is a General Surgery in Bountiful, Utah. Graduated from University of Arkansas College of Medicine in 1985, 41 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
41
Trained at
University of Arkansas College of Medicine
Licensed in
UT
In the registry since
2005
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

425 Medical Dr Ste 101
Bountiful, UT 84010-4945
Phone: (801) 298-9409
Fax: (801) 292-1271
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 901831861205 (UT)

Record details

NPI number1235127291
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 12, 2005
Last updated in NPPESOctober 19, 2011

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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