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Dr. Robert Kenneth Clark, MD
Specialist in Oklahoma City, Oklahoma
NPI 1376530600

Robert Kenneth Clark is a Specialist based in Oklahoma City, OK. Robert Kenneth Clark practices in Oklahoma City, OK and has the professional credentials of MD. The NPI Number for Robert Kenneth Clark is 1376530600 and holds a License No. 13610 (Oklahoma).

The current practice location address for Robert Kenneth Clark is 11317 S Western Ave, Oklahoma City, OK and can be reached out via phone at 405-691-8855 and via fax at 405-691-8891. You can also correspond with Robert Kenneth Clark through the mailing address at 11401 S WESTERN AVE, OKLAHOMA CITY, OK - 73170-5849 (mailing address contact number: 405-735-3041).

Location: 11317 S Western Ave, Oklahoma City, OK, 73170-5849
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Provider Profile Details
NPI Number
1376530600
Provider Name
Robert Kenneth Clark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11317 S Western Ave, Oklahoma City, OK, 73170-5849
Phone Number
405-691-8855
Fax Number
405-691-8891
Provider Enumeration Date
10/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100060770B 05 OK
institution
Provider Business Practice Location Address Details
Address
11317 S Western Ave
City
State
Zip
73170-5849
Phone Number
405-691-8855
Fax Number
405-691-8891
person
Provider Business Mailing Address Details
Address
11317 S Western Ave
City
State
Zip
73170-5849
Phone Number
405-691-8855
Fax Number
405-691-8891
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
13610 (Oklahoma)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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