KENNETH CLARK (NPI# 1275056889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275056889 |
| Entity Type | Individual |
| Full Name | KENNETH CLARK |
| Practice Address |
304 E Broadway St Ste 20 Mount Pleasant MI 48858-2364 |
| Practice Telephone | (989) 317-3328 |
| Practice Fax Number | 9893173329 |
| Mailing Telephone | 9893173328 |
| Mailing Fax Number | 9893173329 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 3501008568 | MI | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063887834 | Kenneth Eugene Clark | Occupational Therapy Assistant | 4885 Eldon Dr S, Colorado Springs, CO 80916-4431 | 2015-12-04 |
| 1821119959 | Kenneth R Clark | Pharmacist | 4211 Hospital St Ste 104, Pascagoula, MS 39581-5310 | 2007-04-03 |
| 1104487149 | Kenneth John Clark | Hearing Instrument Specialist | 462 Roosevelt Rd, Glen Ellyn, IL 60137-5611 | 2019-06-20 |
| 1144740580 | Kenneth John Clark Jr. | Physical Therapist | 6119 Deltona Blvd, Spring Hill, FL 34606-1011 | 2017-06-27 |
| 1619336229 | Kenneth Clark | Dentist | 2524 Hillside Heights Dr, Green Bay, WI 54311-6777 | 2016-02-11 |
| 1669878443 | Kenneth Clark | Registered Nurse | 724 N Charlotte St, Pottstown, PA 19464-4607 | 2014-11-06 |
| 1598046401 | Kenneth Dale Clark | Orthotist | 9303 Pinecroft Dr, The Woodlands, TX 77380-3181 | 2011-09-06 |
| 1093012783 | Kenneth Howard Clark | Pathology | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2011-02-16 |
| 1568794725 | Kenneth Andrew Clark II | Marriage & Family Therapist | 10800 Financial Centre Pkwy Ste 290, Little Rock, AR 72211-3581 | 2010-02-12 |
| 1942344031 | Kenneth L Clark | Registered Nurse | 2640 Breslauer Way, Redding, CA 96001-4246 | 2007-02-20 |
| Street Address |
304 E BROADWAY ST STE 20 |
| City | MOUNT PLEASANT |
| State | MI |
| Zip Code | 48858-2364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535067 | Family Tree Maternity Center, LLC | Midwife | 5201 S. Mission Rd., Mt. Pleasant, MI 48858 | 2020-10-14 |
| 1942842471 | Isabella Citizens for Health, Inc. | Pharmacy | 2790 Health Parkway, Mt Pleasant, MI 48858 | 2019-10-16 |
| 1295299279 | Dalten Tyler Simnitch | Student in an Organized Health Care Education/Training Program | 3700 E Deerfield Rd, Lexington Ridge E01, Mount Pleasant, MI 48858 | 2019-01-24 |
| 1942773809 | Jordan Lynn Bell | Technician, Other | 798 S Whilteville Rd, Mount Pleasant, MI 48858 | 2019-01-03 |
| 1083183578 | Amanda Danielle Greene | Student in an Organized Health Care Education/Training Program | 1280 E. Campus Dr., Central Michigan University, Mt. Pleasant, MI 48858 | 2018-11-14 |
| 1891264388 | Emily Mccullen | Student in an Organized Health Care Education/Training Program | 1280 E Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1174092662 | Nathaniel Lambie | Student in an Organized Health Care Education/Training Program | 1280 East Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1386110872 | Megan Stahl | Social Worker | 301 S Crapo St Suite 100, Mt.pleasant, MI 48858 | 2018-10-23 |
| 1710461090 | Beverly Jean Medford | Custodial Care Facility | 9318 E. Pickard Rd., Mount Pleasant Mi, MI 48858 | 2018-09-21 |
| 1760976211 | Jen Carlesimo | Behavior Technician | Central Autism Treatment Center, 2520 S. University Park Drive, Building D, Mt. Pleasant, MI 48858 | 2018-06-19 |
| Find all providers in zip 48858 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235646456 | Katherine Lazzara | Hearing Instrument Specialist | 6220 Washington Ave Ste D, Mount Pleasant, WI 53406-3952 | 2018-01-09 |
| 1013435502 | Derrick Woods | Hearing Instrument Specialist | 311 Johnnie Dodds Blvd Unit 121, Mount Pleasant, SC 29464-2975 | 2017-09-05 |
| 1508141003 | David G Braun | Hearing Instrument Specialist | 6015 Durand Ave Ste 100, Mount Pleasant, WI 53406-5044 | 2011-10-15 |
| 1144854985 | Kristin M Gordon | Hearing Instrument Specialist | 6220 Washington Ave Ste D, Mount Pleasant, WI 53406-3952 | 2020-03-02 |
| 1528527058 | Peter Drummond | Hearing Instrument Specialist | 6220 Washington Ave Ste D, Mount Pleasant, WI 53406-3952 | 2019-03-14 |
| 1255807285 | Diane Chu | Hearing Instrument Specialist | 6015 Durand Ave Ste 100, Mount Pleasant, WI 53406-5044 | 2018-10-17 |
| 1154897445 | Me Pivot Holdings LLC | Hearing Instrument Specialist | 812 Johnnie Dodds Blvd Ste B, Mount Pleasant, SC 29464-5900 | 2018-10-15 |
| 1164968285 | Gregg Wilke | Hearing Instrument Specialist | 6220 Washington Ave, Suite D, Mount Pleasant, WI 53406-3952 | 2017-01-12 |
| 1780081125 | Heather Jennifer Braun | Hearing Instrument Specialist | 6015 Durand Ave Ste 100, Mount Pleasant, WI 53406-5044 | 2014-12-01 |
| 1689089856 | S.e. Wisconsin Hearing Center Inc. | Hearing Instrument Specialist | 6015 Durand Ave Ste 100, Mount Pleasant, WI 53406-5044 | 2014-06-26 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 48858 |
Please comment or provide details below to improve the information on KENNETH CLARK.
| 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.