Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH CLARK, M.D.
DeactivatedSpecialist · MILWAUKEE, WI
This NPI has been deactivated.
The record was deactivated on December 9, 2005.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1356325518
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2005 (0.021917808219178 yrs)
- Last Updated
- Aug 13, 2007
- Deactivated
- Dec 9, 2005
- License
-
22673 (WI)
Practice Information
- Address
-
2025 E NEWPORT AVEMILWAUKEE, WI, 532112906Browse WI providers · Browse ZIP 53211
- Phone
- 4149613841
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in MILWAUKEE, WI
| Name | Credential | NPI |
|---|---|---|
| TAMRA M MELDER | RPT | 1689664963 |
| JAMES SHERRY | MD | 1972585529 |
| HENRY BRADLEY | M.D. | 1972585420 |
| ROBERT HINSON | M.D. | 1477535011 |
| WILLIAM J HOUGHTON | M.D. | 1124098108 |
| MARY ALICE HOUGHTON | M.D. | 1821068263 |
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.