Kimball G Clark in Syracuse - Neuroradiology

Kimball G Clark - NPI 1689615502

Kimball G Clark is a Neuroradiology in Syracuse, New York. Kimball G Clark practices all healthcare services and medical treatments related to Neuroradiology. 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 Neuroradiology
Taxonomy 2085N0700X
Licence No 1547881
Definition:
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

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 Neuroradiology, and it falls under the taxonomy code 2085N0700X, 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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