Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNY CLARK SR.
Active Sole ProprietorKENNY CLARK SR. is a Driver healthcare provider located in SHAKER HEIGHTS, Ohio. NPI 1174373252 is currently active in the NPPES registry. Verify at CMS.
Driver · SHAKER HEIGHTS, OH
Registration Details
- NPI Number
- 1174373252
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2024 (2.398018602909 yrs)
- Last Updated
- Mar 25, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
3686 INGLESIDE RDSHAKER HEIGHTS, OH, 441225056Browse OH providers · Browse ZIP 44122
- Phone
- 2168168129
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in SHAKER HEIGHTS, OH
| Name | Credential | NPI |
|---|---|---|
| MARIA LYNN LEE | — | 1033804612 |
| MARCELLIOUS WOODSON SR. | — | 1215708276 |
| KEIYANA JONES | — | 1417728569 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.