Individual provider · Type 1 NPI

Kent Edward Clark, DC

Chiropractor · Leesburg, VA

NPI number 1679857544 Active

Practice location

15B Loudoun St SW
Leesburg, VA 20175-2908

Call (703) 779-7909 Map

Specialties and licenses

TaxonomyCodeLicense
Nutrition Chiropractor 111NN1001X8302 (AZ)
Chiropractor Primary 111N00000X0104-557256 (VA)

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 1679857544

Kent Edward Clark, DC's National Provider Identifier is 1679857544, issued on Oct 10, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Leesburg, VA. The record was last updated on Sep 14, 2015.