Kevin Eugene Clark
Kevin Eugene Clark is a Personal Care Attendant in Keyser, West Virginia. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
87 Maryland StKeyser, WV 26726-2910
Phone: (304) 813-3668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|
Record details
| NPI number | 1215700745 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 6, 2023 |
| Last updated in NPPES | November 6, 2023 |
| Certification date | November 6, 2023 |
| Mailing address | 87 Maryland St, Keyser, WV 26726-2910 |
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