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

Paven Clark

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255296521

Paven Clark is a Student in an Organized Health Care Education/Training Program in Lake Ozark, Missouri. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

31 Bluff Ridge Dr Unit 1B
Lake Ozark, MO 65049-6343
Phone: (618) 663-1028
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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 number1255296521
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 18, 2025
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025
Mailing address31 Bluff Ridge Dr Unit 1b, Lake Ozark, MO 65049-6343

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