Individual provider · Type 1 NPI

Kimball G. Clark, MD

Diagnostic Radiology Physician · Syracuse, NY

NPI number 1689615502 Active

Practice location

750 E Adams St, 3rd Floor Radiology
Syracuse, NY 13210-2306

Call (315) 464-6672 Map

Mailing address

224 Harrison St, Suite 601
Syracuse, NY 13202-3056

Specialties and licenses

TaxonomyCodeLicense
Neuroradiology Physician 2085N0700X1547881 (NY)
Diagnostic Radiology Physician Primary 2085R0202X1547881 (NY)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1689615502

Kimball G. Clark, MD's National Provider Identifier is 1689615502, issued on Jun 10, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Syracuse, NY. The record was last updated on Mar 18, 2008.