Kimball G Clark in Syracuse - Diagnostic Radiology

Kimball G Clark - NPI 1689615502

Kimball G Clark is a Diagnostic Radiology in Syracuse, New York. Kimball G Clark practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Kimball G Clark is 1689615502. The last update date is 2008-03-18.

Kimball G Clark's current location address is 750 E Adams St, Syracuse, New York. You can contact this provider via phone number 3154646672. The mailing address for Kimball G Clark is 750 E Adams St, Syracuse, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimball G Clark
Address 750 E Adams St, Syracuse, New York
Phone Number 3154646672
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1689615502
Provider Enumeration Date 2006-06-10
Last Updated Date 2008-03-18

Provider Mailing Address Detail

Address 750 E Adams St
City Syracuse
State New York (NY)
Post Code 132102306
Phone Number 3154646672
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 1547881
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1013661 NY --

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FAQs about Kimball G Clark

What is the unique 10-digit identifier code issued to Kimball G Clark by the Centers for Medicare & Medicaid Services?

The Kimball G Clark has been assigned the NPI (National Provider Identifier) 1689615502 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Kimball G Clark is physically located?

The Kimball G Clark is physically situated at the following address: 750 E Adams St, Syracuse, NY, 132102306.

What is Kimball G Clark's area of expertise and its corresponding taxonomy classification?

The Kimball G Clark's field of specialization is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their areas of practice.

When did Kimball G Clark receive its 1689615502 assignment?

The Kimball G Clark was assigned its 1689615502 on 2006-06-10, which is the date when this unique identifier was issued to the organization.

When was the information regarding Kimball G Clark most recently updated?

The details pertaining to the Kimball G Clark, including its address, specialty, and other relevant information, were last refreshed on 2008-03-18.

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