1598046401 Mr. Kenneth Dale Clark

Orthotist

Active

Basic Information

Full Name
Mr. Kenneth Dale Clark
Gender
Male
Enumeration Date
September 6, 2011
Last Update
September 27, 2011

Practice Location

Address
9303 PINECROFT DR
THE WOODLANDS, TX 773803181
Phone
(281) 297-6445
Fax
(281) 297-6460

Mailing Address

Address
9303 PINECROFT DR
THE WOODLANDS, TX 773803181
Phone
(281) 297-6445
Fax
(281) 297-6460

Specialties & Taxonomies

Specialty Code Classification License State Primary
Orthotist
222Z00000X Orthotist 400 TX Primary

Other Identifiers

Identifier Type State Issuer
094010801 01 TX GROUP MEDICAID NUMBER
00J21A 01 TX GROUP MEDICARE NUMBER

Frequently Asked Questions

What is Mr. Kenneth Dale Clark's NPI number?
Mr. Kenneth Dale Clark's NPI number is 1598046401.
Which doctor has NPI number 1598046401?
The doctor with NPI number 1598046401 is Mr. Kenneth Dale Clark.
What is Mr. Kenneth Dale Clark's practice address?
Mr. Kenneth Dale Clark's practice address is 9303 PINECROFT DR, THE WOODLANDS, TX, 773803181.
Which doctor practices at 9303 PINECROFT DR, THE WOODLANDS, TX, 773803181?
Mr. Kenneth Dale Clark practices at 9303 PINECROFT DR, THE WOODLANDS, TX, 773803181.
What is Mr. Kenneth Dale Clark's phone number?
Mr. Kenneth Dale Clark's phone number is (281) 297-6445.
Who is (281) 297-6445?
(281) 297-6445 is the phone number for Mr. Kenneth Dale Clark.
What is Mr. Kenneth Dale Clark's specialty?
Mr. Kenneth Dale Clark's specialty is Orthotist.
What type of doctor is Mr. Kenneth Dale Clark?
Mr. Kenneth Dale Clark is a Orthotist.
Is Mr. Kenneth Dale Clark a Orthotist?
Yes, Mr. Kenneth Dale Clark is a Orthotist.
Is Mr. Kenneth Dale Clark still practicing?
Yes, Mr. Kenneth Dale Clark is currently practicing.
Is Mr. Kenneth Dale Clark accepting new patients?
Mr. Kenneth Dale Clark may be accepting new patients. Please call their office at (281) 297-6445 to inquire about availability.
Is NPI 1598046401 still active?
Yes, NPI 1598046401 is currently active.
Where does Mr. Kenneth Dale Clark practice?
Mr. Kenneth Dale Clark practices in THE WOODLANDS, TX.
Is Mr. Kenneth Dale Clark a male or female doctor?
Mr. Kenneth Dale Clark is a male doctor.