Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK EVAN DEMUTH, D.O.
ActiveDR. MARK EVAN DEMUTH, D.O. is a Family Medicine healthcare provider located in CLARKSON, Kentucky. NPI 1619031192 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CLARKSON, KY
Registration Details
- NPI Number
- 1619031192
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 20, 2006 (19.465548888293 yrs)
- Last Updated
- Mar 9, 2009
- Licenses
-
036110355 (IL)03097 (KY)
Practice Information
- Address
-
619 W MAIN STCLARKSON, KY, 427267044Browse KY providers · Browse ZIP 42726
- Phone
- 1866653823
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
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.