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

Kendall Clark

Individual provider Internal Medicine Physician · NPI 1639756737

Kendall Clark is an Internal Medicine in Slidell, Louisiana. Graduated from William Carey University College of Osteopathic Medicine in 2021, 5 years ago. Practices with Belle Chasse Physician Services LLC, a 261-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
5
Trained at
William Carey University College of Osteopathic Medicine
Licensed in
LA
In the registry since
2021
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Practice location Address checks out

1001 Gause Blvd
Slidell, LA 70458-2939
Phone: (985) 280-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 341154 (LA)

Record details

NPI number1639756737
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 25, 2021
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024
Mailing address2108 Clayton Pl, Hattiesburg, MS 39402-2805

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolWILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Belle Chasse Physician Services Llc — 261 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Slidell