Kenneth Morris Clark Jr.
Kenneth Morris Clark Jr. is a Student in an Organized Health Care Education/Training Program in Columbus, Ohio. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
370 W 9th AveColumbus, OH 43210-1238
Phone: (614) 685-4411
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1164275889 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 10, 2024 |
| Last updated in NPPES | April 10, 2024 |
| Certification date | April 10, 2024 |
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