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

Kristen McKinney Clark

Individual provider Physician Assistant · NPI 1376903385

Kristen McKinney Clark is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2015, 11 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
11
Licensed in
NC
In the registry since
2016
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Practice location Address checks out

200 Robinhood Medical Plz
Winston Salem, NC 27106-5471
Phone: (336) 718-7950
Fax: (336) 718-7989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-06135 (NC)

Record details

NPI number1376903385
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 3, 2016
Last updated in NPPESJune 6, 2022
Certification dateJune 6, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Winston Salem