Individual provider · Type 1 NPI

Richard Kenneth Clark, PA-C

Physician Assistant · Rhinelander, WI

NPI number 1235580903 Active

Practice location

1630 Chippewa Dr
Rhinelander, WI 54501-9503

Mailing address

PO Box 646
Woodruff, WI 54568-0646

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X3766-23 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1235580903

Richard Kenneth Clark, PA-C's National Provider Identifier is 1235580903, issued on Jun 23, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Rhinelander, WI. The record was last updated on Jun 23, 2016.