Mr. Kevin John Clark, LCPO - Seattle, WA

Mr. Kevin John Clark, LCPO

Prosthetist in Seattle, Washington

NPI 1790115004

Kevin John Clark is a Prosthetist based in Seattle, WA. Kevin John Clark practices in Seattle, WA and has the professional credentials of LCPO. The NPI Number for Kevin John Clark is 1790115004 and holds a License No. 01 60414623 (Washington).

The current practice location address for Kevin John Clark is 411 12Th Ave, Seattle, WA and can be reached out via phone at 206-328-4276 and via fax at 206-328-1037.

Location: 411 12Th Ave, Seattle, WA, 98122-5599

NPI Number

1790115004

Provider Name

Kevin John Clark

Credential

LCPO

Provider Entity Type

Individual

Gender

Male

Address

411 12Th Ave, Seattle, WA, 98122-5599

Phone Number

206-328-4276

Fax Number

206-328-1037

Provider Enumeration Date

11/22/2013

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
9015561	05	WA

Address

411 12Th Ave

City

Seattle

State

Washington

Zip

98122-5599

Phone Number

206-328-4276

Fax Number

206-328-1037

Address

411 12Th Ave

City

Seattle

State

Washington

Zip

98122-5599

Phone Number

206-328-4276

Fax Number

206-328-1037

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Orthotist

Speciality

Taxonomy

222Z00000X

License No.

PS 60414610 (Washington)

Definition

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Prosthetist

Speciality

Taxonomy

224P00000X

License No.

01 60414623 (Washington)

Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

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