Kenneth David Clark in Germantown - Psychiatry
Kenneth David Clark - NPI 1548364920
Kenneth David Clark is a Psychiatry in Germantown, Tennessee. Kenneth David Clark practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Kenneth David Clark is 1548364920. The last update date is 2007-07-08.
Kenneth David Clark's current location address is 8456 Glenbrae Cv, Germantown, Tennessee. You can contact this provider via phone number 9017593916 and fax number 9017593916. The mailing address for Kenneth David Clark is 8456 Glenbrae Cv, Germantown, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth David Clark |
|---|---|
| Address | 8456 Glenbrae Cv, Germantown, Tennessee |
| Phone Number | 9017593916 |
| Fax Number | 9017593916 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1548364920 |
|---|---|
| Provider Enumeration Date | 2006-09-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8456 Glenbrae Cv |
|---|---|
| City | Germantown |
| State | Tennessee (TN) |
| Post Code | 381396323 |
| Phone Number | 9017593916 |
| Fax Number | 9017593916 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 39869 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kenneth David Clark by the Centers for Medicare & Medicaid Services?
The Kenneth David Clark has been assigned the NPI (National Provider Identifier) 1548364920 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Kenneth David Clark is geographically located?
The Kenneth David Clark is physically situated at the following location: 8456 Glenbrae Cv, Germantown, TN, 381396323.
What is the Kenneth David Clark's specialty and taxonomy code?
The Kenneth David Clark's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.
When did Kenneth David Clark receive its 1548364920 assignment?
The Kenneth David Clark was assigned its 1548364920 on 2006-09-07, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Kenneth David Clark most recently updated or revised?
The details related to Kenneth David Clark, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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