Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN S CLARK, M.M.S., PA-C
ActiveMR. KEVIN S CLARK, M.M.S., PA-C is a Medical Physician Assistant healthcare provider located in BELLEVILLE, Illinois. NPI 1235370743 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BELLEVILLE, IL
Registration Details
- NPI Number
- 1235370743
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 12, 2009 (17.462860402416 yrs)
- Last Updated
- Jan 3, 2013
- Licenses
-
085003431 (IL)085003431 (IL)
Practice Information
- Address
-
4500 MEMORIAL DRBELLEVILLE, IL, 622265360Browse IL providers · Browse ZIP 62226
- Phone
- 6182337750
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Emergency Medicine
Other Medical Physician Assistant Providers in BELLEVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| JEAN SCHUMAKER | PAC | 1134129109 |
| MS. JANET P. RUDDERHAM | PA-C | 1366433286 |
| KATHLEEN KEITHLEY | PA-C | 1760457352 |
| COURTNEY DORAN I | PA | 1306882386 |
| ELIZABETH CUE CYRUS | P.A. | 1609804962 |
| KEVIN WILSON | PA-C | 1063424984 |
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.