420 N CENTER ST
HICKORY, NC 28601-5046 US PECOS Enrolled
Overview
Kevin R Clark is a Emergency Medicine Physician in the HICKORY area and has over 37 years of experience. Kevin R Clark primary office location is at 420 N CENTER ST and new patients are welcome to contact this healthcare provider for an appointment. He attended Philadelphia College Of Osteopathic Medicine and graduated 1987
Kevin R Clark is affiliated with thirteen hospitals in the HICKORY area, including . The NPI number is 1053373399 and the information was updated approximately 15 years ago.
Kevin R Clark is affiliated with one medical group in the HICKORY area, GERIATRIC CONSULTANTS PLLC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 200300020 | NC |
| Board Certifications |
|---|
| Osteopathic Emergency Medicine |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 891293C | NC |
| BCBS | 1293C | NC |
| RAILROAD MEDICARE | P00251742 | NC |
| Taxonomy | State | Primary? |
|---|---|---|
| Emergency Medicine Physician - Taxonomy Code 207P00000X | NC | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20050131000236 |
| PECOS Individual PAC ID: | 5799735445 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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