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

Mr. Clark Rafael Hernandez, PAC

Individual provider Physician Assistant · NPI 1306941372

Mr. Clark Rafael Hernandez, PAC is a Physician Assistant in Kingsport, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Partly verified

Some contact details are missing from the federal record.

Three Sheridan Sq
Kingsport, TN 37660
Phone: (423) 392-6840
Fax: (423) 392-6845
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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 PA0000000871 (TN)

Record details

NPI number1306941372
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 14, 2006
Last updated in NPPESJuly 8, 2007

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