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Kevin Alan Clark
Student in an Organized Health Care Education/Training Program in Gainesville, Florida
NPI 1710564901

Kevin Alan Clark is a Student in an Organized Health Care Education/Training Program based in Barboursville, FL. Kevin Alan Clark practices in Gainesville, FL. The NPI Number for Kevin Alan Clark is 1710564901 and holds a License No. (Florida).

The current practice location address for Kevin Alan Clark is 1600 Sw Archer Rd, Gainesville, FL and can be reached out via phone at 352-265-0077.

Location: 1600 Sw Archer Rd, Gainesville, FL, 25504-0051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710564901
Provider Name
Kevin Alan Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
1600 Sw Archer Rd, Gainesville, FL, 25504-0051
Phone Number
352-265-0077
Fax Number
Provider Enumeration Date
03/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1600 Sw Archer Rd
City
Gainesville
State
Florida
Zip
32610-3003
Phone Number
352-265-0077
Fax Number
person
Provider Business Mailing Address Details
Address
1600 Sw Archer Rd
City
Gainesville
State
Florida
Zip
32610-3003
Phone Number
352-265-0077
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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