Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN N CLARK, MD
Active Sole ProprietorDR. KEVIN N CLARK, MD is a General Surgery healthcare provider located in BOUNTIFUL, Utah. NPI 1235127291 is currently active in the NPPES registry. Verify at CMS.
General Surgery · BOUNTIFUL, UT
Registration Details
- NPI Number
- 1235127291
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2005 (20.824631938671 yrs)
- Last Updated
- Oct 19, 2011
- License
-
901831861205 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
425 MEDICAL DRSTE 101BOUNTIFUL, UT, 840104945Browse UT providers · Browse ZIP 84010
- Phone
- 8012989409
- Fax
- 8012921271
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in BOUNTIFUL, UT
| Name | Credential | NPI |
|---|---|---|
| RUSSELL H TODD | MD | 1538158282 |
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.