Barry Kent Clark in Okmulgee - Addiction (substance Use Disorder)
Barry Kent Clark - NPI 1962413070
Barry Kent Clark is a Addiction (substance Use Disorder) in Okmulgee, Oklahoma. Barry Kent Clark practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Barry Kent Clark is 1962413070. The last update date is 2009-03-13.
Barry Kent Clark's current location address is 100 W 7th St, Okmulgee, Oklahoma. You can contact this provider via phone number 9187581910 and fax number 9187561270. The mailing address for Barry Kent Clark is 100 W 7th St, Okmulgee, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Barry Kent Clark |
|---|---|
| Address | 100 W 7th St, Okmulgee, Oklahoma |
| Phone Number | 9187581910 |
| Fax Number | 9187561270 |
| Sole Proprietor | N |
| Credentials | LADC |
NPI Number Detail
| NPI Number | 1962413070 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2009-03-13 |
Provider Mailing Address Detail
| Address | 100 W 7th St |
|---|---|
| City | Okmulgee |
| State | Oklahoma (OK) |
| Post Code | 744475007 |
| Phone Number | 9187581910 |
| Fax Number | 9187561270 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 584 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 300522348 | OK | MEDICARE KOWETA GROUP |
Post Comment/ Review Below
What is the unique identifier code issued to Barry Kent Clark by the Centers for Medicare & Medicaid Services?
The Barry Kent Clark has been assigned the NPI (National Provider Identifier) 1962413070. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Barry Kent Clark is located?
The Barry Kent Clark is situated at the following address: 100 W 7Th St, Okmulgee, OK, 744475007.
What is Barry Kent Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Barry Kent Clark is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.
When did the Barry Kent Clark receive its 1962413070?
The Barry Kent Clark was issued its 1962413070 on 2006-08-11, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Barry Kent Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Barry Kent Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-03-13.
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