Individual provider · Type 1 NPI

Gavin Kestral Clark, MD

Emergency Medicine Physician · Washington, DC

NPI number 1063160695 Active

Practice location

110 Irving St NW Ste NA1177
Washington, DC 20010-3017

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XMD60005590 (DC)
Emergency Medicine Physician Primary 207P00000XD0106561 (MD)
Emergency Medicine Physician 207P00000X0101288809 (VA)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1063160695

Gavin Kestral Clark, MD's National Provider Identifier is 1063160695, issued on Mar 14, 2022. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Washington, DC. The record was last updated on Apr 25, 2026.