KEVIN DEWITT CLARK


Address: 130 N Dixie Hwy, Hollywood, FL 33020-6704
Phone: 9547194078

KEVIN DEWITT CLARK (NPI# 1033361381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033361381
Entity Type Individual
Full Name KEVIN DEWITT CLARK
Credential AP
Practice Address 130 N Dixie Hwy
Hollywood
FL 33020-6704
Practice Telephone 9547194078
Practice Fax Number 1866610623
Mailing Telephone 9547194078
Mailing Fax Number 1866610623
Enumeration Date 2008-10-17
Last Update Date 2008-10-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171100000X Acupuncturist AP424 FL Other Service Providers

Other Providers KEVIN CLARK

NPI Name Taxonomy Address Enumeration
1598294001 Kevin John Clark Chiropractor 2815 83rd St, Darien, IL 60561-1660 2017-06-08
1124402516 Kevin Michael Clark Dentist 8 Inwood Peak, San Antonio, TX 78248-1654 2015-07-15
1275976276 Kevin P Clark Pharmacist 215 Sixth Street, Hotchkiss, CO 81419-0928 2013-04-10
1265736508 Kevin Clark Acupuncturist 415 Route 34, Suite 210, Colts Neck, NJ 07722-2522 2010-12-30
1891859278 Kevin Landis Clark Optometrist 10415 Gateway Blvd W, El Paso, TX 79925-7905 2006-12-20
1609934397 Kevin John Clark Counselor 251 E 5th St, Brooklyn, NY 11218-2403 2006-12-05
1912947144 Kevin Grafton Clark Optometrist 5310 Highway 25, Suite 5, Flowood, MS 39232-6148 2006-06-07
1235127291 Kevin N Clark Surgery 425 Medical Dr, Ste 101, Bountiful, UT 84010-4945 2005-10-12
1497376958 Kevin P. Clark Sr. Social Worker 30 Harriman Dr, Goshen, NY 10924-2410 2020-05-06
1245851104 Kevin Clark Counselor 3929 Old Lee Hwy Ste 92c, Fairfax, VA 22030-2421 2020-05-01

Office Location

Street Address 130 N DIXIE HWY
City HOLLYWOOD
State FL
Zip Code 33020-6704

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598236622 Andres Nemeth Acupuncturist 130 N Dixie Hwy, Hollywood, FL 33020-6704 2018-12-16
1164819751 Anne Ilona Friedberg Acupuncturist 130 N Dixie Hwy, Hollywood, FL 33020-6704 2015-04-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629694203 Oaks Medical Group, LLC Internal Medicine 2854 Jackson St, Hollywood, FL 33020 2020-06-19
1487217949 Yaneisy Correa Vento Sr. Nurse Practitioner 2700 E Hollywood Blud, Hollywood, FL 33020 2019-04-19
1811453590 Sandra's Car Service LLC Non-emergency Medical Transport (VAN) 2048 Mckinley St. Bay #1, Hollywood, FL 33020 2019-02-18
1134605330 Cruz Ines Diaz Peer Specialist 3400 N- 29th Avenue, Hollywood, FL 33020 2018-07-11
1598258451 Brian Tran Dentist 1704 Stirling Rd., Hollywood, FL 33020 2018-06-14
1295223451 Broward Treatment Center Substance Abuse Rehabilitation Facility 1101 S 21 Ave, Hollywood, FL 33020 2018-04-24
1033617220 Laura Goldman Psychologist 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 2018-01-23
1205344835 Sunshine Health Supplies LLC Durable Medical Equipment & Medical Supplies 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 2018-01-17
1124536222 Melina Rodriguez Counselor 3400 N 29th Avenue, Hollywood, FL 33020 2018-01-11
1003337783 Publix Super Markers, Inc Durable Medical Equipment & Medical Supplies 1776 Polk St., Hollywood, FL 33020 2017-07-03
Find all providers in zip 33020

Taxonomy Information

Taxonomy Code 171100000X
Grouping Other Service Providers
Classification Acupuncturist

Taxonomy Definition

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962900712 Michele Lavire Acupuncturist 2501 S Ocean Dr Apt 202, Hollywood, FL 33019-2665 2018-01-26
1578937405 Peter C Steele Acupuncturist 1926 Hollywood Blvd, 202, Hollywood, FL 33020-4532 2015-11-16
1780074310 Fr Acupuncture LLC Acupuncturist 2750 N University Dr, Hollywood, FL 33024-2546 2015-02-04
1407246119 Optimum Health Acupuncture Acupuncturist 3800 S Ocean Dr Ste 213, Hollywood, FL 33019-2927 2015-02-02
1982012225 Adriana Dias Acupuncturist 2729 Harding St, Hollywood, FL 33020-1819 2014-07-30
1558791152 Yojebed Popiol Acupuncturist 4020 N Hills Dr, Apt 8, Hollywood, FL 33021-2463 2013-11-18
1821372269 Luisa N Mosquera Acupuncturist 1301 N 35th Ave, Hollywood, FL 33021-4901 2011-10-04
1104064534 Doreen Cott Acupuncturist 1414 Adams St, Hollywood, FL 33020-6133 2009-01-22
1356592901 Dong Cheol Oh Acupuncturist 1319 N La Brea Ave, Hollywood, CA 90028-7503 2008-10-01
1689849564 Nicole Nguyen Van Binh Acupuncturist 1438 Jefferson St, Hollywood, FL 33020-5523 2008-04-23
Find all providers in HOLLYWOOD

Competitor

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City HOLLYWOOD
Zip Code 33020

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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