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

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X200300020 (NC)
Emergency Medicine Physician 207P00000X200300020 (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.

58 other providers at this address

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.