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

Kevin Alan Clark

Individual provider Anesthesiology Physician · NPI 1710564901

Kevin Alan Clark is an Anesthesiology in Gainesville, Florida. Graduated from Jc Edwards School of Medicine, Marshall University in 2021, 5 years ago. Practices with Florida Clinical Practice Association Inc, a 1,885-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Trained at
Jc Edwards School of Medicine, Marshall University
Licensed in
FL
In the registry since
2021
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Practice location Address checks out

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone: (352) 265-0077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence ME173252 (FL)

Record details

NPI number1710564901
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 25, 2021
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025
Mailing addressPo Box 51, Barboursville, WV 25504-0051

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolJC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated 2021 (5 years in practice)
Group practice Florida Clinical Practice Association Inc — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Gainesville