Kenny Clark SR. is a Driver based in Cleveland, OH. Kenny Clark SR. practices in Shaker Heights, OH. The NPI Number for Kenny Clark SR. is 1174373252 and holds a License No. (Ohio).
The current practice location address for Kenny Clark SR. is 3686 Ingleside Rd, Shaker Heights, OH and can be reached out via phone at 216-816-8129.
Location: 3686 Ingleside Rd, Shaker Heights, OH, 44120-1931
Provider Profile Details
NPI Number
1174373252
Provider Name
Kenny Clark SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
3686 Ingleside Rd, Shaker Heights, OH, 44120-1931
Phone Number
216-816-8129
Fax Number
Provider Enumeration Date
03/25/2024
Last Update Date
04/14/2024
Provider Business Practice Location Address Details
Address
3686 Ingleside Rd
City
State
Zip
44122-5056
Phone Number
216-816-8129
Fax Number
Provider Business Mailing Address Details
Address
3686 Ingleside Rd
City
State
Zip
44122-5056
Phone Number
216-816-8129
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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