About Kevin Clark
Kevin Clark is a Addiction (Substance Use Disorder) healthcare provider based in Fairfax, Virginia. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 05/01/2020. The National Provider Identifier (NPI) number assigned to this provider is 1245851104.
No pharmaceutical payment records or Medicare utilization data were found in the CMS databases for this provider. This does not reflect on the quality of care provided.
Practice Information
- Specialty Addiction (Substance Use Disorder)
- Location Fairfax, VA
- Active Since 05/01/2020
- Last Updated 04/26/2021
- Taxonomy Code 101YA0400X
- Entity Type Individual
- Practice Solo Practitioner
- NPI Number 1245851104
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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