Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH DALE CLARK
ActiveMR. KENNETH DALE CLARK is a Orthotist healthcare provider located in THE WOODLANDS, Texas. NPI 1598046401 is currently active in the NPPES registry. Verify at CMS.
Orthotist · THE WOODLANDS, TX
Registration Details
- NPI Number
- 1598046401
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 6, 2011 (14.957866722452 yrs)
- Last Updated
- Sep 27, 2011
- License
-
400 (TX)
Practice Information
- Address
-
9303 PINECROFT DRTHE WOODLANDS, TX, 773803181Browse TX providers · Browse ZIP 77380
- Phone
- 2812976445
- Fax
- 2812976460
- Primary Specialty
-
Orthotist
222Z00000X
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.