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

Dr. Kirby Dwight Clark, MD

Individual provider Family Medicine Physician · NPI 1447288311

Dr. Kirby Dwight Clark, MD is a Family Practice in Saint Paul, Minnesota. Graduated from University of Minnesota Medical School in 2001, 25 years ago. Practices with Fairview Clinics, a 806-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
25
Trained at
University of Minnesota Medical School
Licensed in
MN
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 Partly verified

Some contact details are missing from the federal record.

Ufp Phalen Village Clinic 1414 Maryland Ave E
Saint Paul, MN 55106
Phone: (651) 772-3461
Fax: (651) 772-2605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 45690 (MN)

Record details

NPI number1447288311
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2006
Last updated in NPPESJuly 9, 2007

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2001 (25 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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