Mr. Kevin John Clark is a Seattle, Washington based Orthotics. Active license number of Mr. Kevin John Clark is 01 60414623 for Orthotics in Washington. His current practice location is 411 12th Ave, Suite 200, Seattle. Patients can reach him at 206-328-4276 or can fax him at 206-328-1037. Mr. Kevin John Clark is LCPO in Orthotics and his NPI number (Unique professional ID assigned by NPPES) is 1790115004. Mr. Kevin John Clark is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Complete Profile:
Mr. Kevin John Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthotics
Credentials:
LCPO
Gender:
Male
Practice Address:
411 12th Ave, Suite 200, Seattle, Washington, 98122-5599
Phone:
206-328-4276
Fax:
206-328-1037
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1790115004
NPI Enumeration Date:
22 Nov, 2013
NPI Last Update On:
22 Nov, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Kevin John Clark are as mentioned below.
License Number
Specialization
State
Status
01 60414623
Orthotist
Washington
Primary
PS 60414610
Prosthetics
Washington
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Kevin John Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
9015561
Medicaid
Washington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
411 12th Ave, Suite 200 Seattle, Washington
Zip:
98122-5599
Phone Number:
206-328-4276
Fax Number:
206-328-1037
Patients can reach Mr. Kevin John Clark at 411 12th Ave, Suite 200, Seattle, Washington or can call to book an appointment on 206-328-4276. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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