Individual provider · Type 1 NPI

Robert Kenneth Clark, MD

Specialist · Oklahoma City, OK

NPI number 1376530600 Active

Practice location

11317 S Western Ave, 900
Oklahoma City, OK 73170-5849

Call (405) 691-8855 Map

Fax (405) 691-8891

Mailing address

11401 S Western Ave
Oklahoma City, OK 73170-5849

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X13610 (OK)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1376530600

Robert Kenneth Clark, MD's National Provider Identifier is 1376530600, issued on Oct 3, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oklahoma City, OK. The record was last updated on Jan 20, 2010.