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

Kenneth Clark, MD

Individual provider Specialist · NPI 1356325518

Kenneth Clark, MD is a Specialist in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
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

2025 E Newport Ave
Milwaukee, WI 53211-2906
Phone: (414) 961-3841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 22673 (WI)

Record details

NPI number1356325518
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 1, 2005
Last updated in NPPESAugust 13, 2007
Mailing address500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1627

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