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

Individual provider Neuroradiology Physician · NPI 1689615502

Dr. Kimball G Clark, MD is a Neuroradiology Physician in Syracuse, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
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

750 E Adams St 3rd Fl Radiology
Syracuse, NY 13210-2306
Phone: (315) 464-6672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 1547881 (NY)
Neuroradiology Physician Taxonomy 2085N0700X · Licence 1547881 (NY)

Record details

NPI number1689615502
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2006
Last updated in NPPESMarch 18, 2008

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