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NPI Verification

National Provider Identifier: 1164479762

A. Kent Clark

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

841 UNION ST

STE A

SHELBYVILLE, TN 371602610

Phone: 931-685-4777

NPI Enumeration Date

May 28, 2006

NPI Number

1164479762

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
A. Kent Clark - NPI 1164479762 | Provider Verification | HormoneMap