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

TaxonomyCodeLicense
Chiropractor Primary 111N00000X1870 (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.