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

Mr. Chad Edward Clark, OMS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134010606

Mr. Chad Edward Clark, OMS is a Student in an Organized Health Care Education/Training Program in Knoxville, Tennessee. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

8235 Kingstree Ln
Knoxville, TN 37919-2040
Phone: (865) 936-2862
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1134010606
Entity typeIndividual (Type 1)
GenderMale
Credentials OMS
Sole proprietorNo
NPI enumeratedJuly 14, 2025
Last updated in NPPESJuly 14, 2025
Certification dateJuly 13, 2025

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