Kenneth L Clark in Redding - Psychiatric/mental Health
Kenneth L Clark - NPI 1942344031
Kenneth L Clark is a Psychiatric/mental Health in Redding, California. Kenneth L Clark practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Kenneth L Clark is 1942344031. The last update date is 2007-07-08.
Kenneth L Clark's current location address is 2640 Breslauer Way, Redding, California. You can contact this provider via phone number 5302255233. The mailing address for Kenneth L Clark is 2640 Breslauer Way, Redding, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth L Clark |
|---|---|
| Address | 2640 Breslauer Way, Redding, California |
| Phone Number | 5302255233 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1942344031 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2640 Breslauer Way |
|---|---|
| City | Redding |
| State | California (CA) |
| Post Code | 960014246 |
| Phone Number | 5302255233 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 163Wp0808X |
| Licence No | RN308125 |
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Definition: A registered nurse who cares for patients with mental health disorders and conditions. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kenneth L Clark by the Centers for Medicare & Medicaid Services?
The Kenneth L Clark has been issued the NPI (National Provider Identifier) 1942344031, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kenneth L Clark?
The Kenneth L Clark is situated at 2640 Breslauer Way, in the city of Redding, state of CA, with the zip code 960014246.
What is the Kenneth L Clark's specialty and taxonomy code?
The Kenneth L Clark's specialty is Psychiatric/mental Health, and the corresponding taxonomy code is 163Wp0808X.
When was the Kenneth L Clark's 1942344031 issued?
The Kenneth L Clark's 1942344031 was issued on 2007-02-20.
When was the Kenneth L Clark's information last updated?
The Kenneth L Clark's information was last updated on 2007-07-08.