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

Kevin R Clark, DO

Individual provider General Practice Physician · NPI 1053373399

Kevin R Clark, DO is a General Practice in Hickory, North Carolina. Graduated from Philadelphia College of Osteopathic Medicine in 1987, 39 years ago. Practices with Physicians Eldercare PA, a 228-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
39
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

420 N Center St
Hickory, NC 28601-5046
Phone: (843) 237-3378
Fax: (843) 237-5073
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 200300020 (NC)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 200300020 (NC)

Record details

NPI number1053373399
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 3, 2006
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing addressPo Box 60359, Charlotte, NC 28260-0359

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Also practisesEMERGENCY MEDICINE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1987 (39 years in practice)
Group practice Physicians Eldercare Pa — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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