Individual provider · Type 1 NPI
Kevin R. Clark, DO
General Practice Physician · Hickory, NC
NPI number
1053373399
Active
Practice location
420 N Center St
Hickory, NC 28601-5046
Fax (843) 237-5073
Mailing address
PO Box 60359
Charlotte, NC 28260-0359
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 200300020 (NC) |
| Emergency Medicine Physician | 207P00000X | 200300020 (NC) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1053373399
Kevin R. Clark, DO's National Provider Identifier is 1053373399, issued on Apr 3, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Hickory, NC. The record was last updated on Jun 8, 2026.