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

Dr. Kirby P Clark, MD

Individual provider Diagnostic Radiology Physician · NPI 1407893795

Dr. Kirby P Clark, MD is a Diagnostic Radiology in Waterloo, Iowa. Graduated from University of Michigan Medical School in 1995, 31 years ago. Practices with Cedar Valley Medical Specialists PC, a 76-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa, Illinois and Wisconsin.

Years since qualifying
31
Trained at
University of Michigan Medical School
Licensed in
IA, IL, WI
In the registry since
2006
Specialties on file
3
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

4006 Johnathan St
Waterloo, IA 50701-9387
Phone: (319) 236-2700
Show map & directions

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

Additional practice locations (1)

  • 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 — (847) 535-7480

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 35956 (IA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 42049-20 (WI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036126457 (IL)

Record details

NPI number1407893795
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1995 (31 years in practice)
Group practice Cedar Valley Medical Specialists Pc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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