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Kevin Clark
Student in an Organized Health Care Education/Training Program in San Leandro, California
NPI 1205312667

Kevin Clark is a Student in an Organized Health Care Education/Training Program based in San Leandro, CA. Kevin Clark practices in San Leandro, CA. The NPI Number for Kevin Clark is 1205312667 and holds a License No. (California).

The current practice location address for Kevin Clark is 2275 Arlington Dr, San Leandro, CA and can be reached out via phone at 510-317-1444.

Location: 2275 Arlington Dr, San Leandro, CA, 94578-1132
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205312667
Provider Name
Kevin Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
2275 Arlington Dr, San Leandro, CA, 94578-1132
Phone Number
510-317-1444
Fax Number
Provider Enumeration Date
07/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2275 Arlington Dr
City
San Leandro
State
California
Zip
94578-1132
Phone Number
510-317-1444
Fax Number
person
Provider Business Mailing Address Details
Address
2275 Arlington Dr
City
San Leandro
State
California
Zip
94578-1132
Phone Number
510-317-1444
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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