Individual provider · Type 1 NPI
Randal Mark Clark, DC
Chiropractor · Kent, WA
NPI number
1407987019
Active
Practice location
22711 43rd Ave S
Kent, WA 98032-8467
Fax (253) 661-6405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1870 (WA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1407987019
Randal Mark Clark, DC's National Provider Identifier is 1407987019, issued on Mar 7, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Kent, WA. The record was last updated on Jul 8, 2007.