MR. KENNETH DALE CLARK


Address: 9303 Pinecroft Dr, The Woodlands, TX 77380-3181
Phone: 2812976445

MR. KENNETH DALE CLARK (NPI# 1598046401) 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) 1598046401
Entity Type Individual
Full Name MR. KENNETH DALE CLARK
Practice Address 9303 Pinecroft Dr
The Woodlands
TX 77380-3181
Practice Telephone 2812976445
Practice Fax Number 2812976460
Mailing Telephone 2812976445
Mailing Fax Number 2812976460
Enumeration Date 2011-09-06
Last Update Date 2011-09-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Z00000X Orthotist 400 TX Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX GROUP MEDICARE NUMBER 00J21A 01
TX GROUP MEDICAID NUMBER 094010801 01

Other Providers KENNETH CLARK

NPI Name Taxonomy Address Enumeration
1275056889 Kenneth Clark Hearing Instrument Specialist 304 E Broadway St Ste 20, Mount Pleasant, MI 48858-2364 2017-07-25
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
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

Office Location

Street Address 9303 PINECROFT DR
City THE WOODLANDS
State TX
Zip Code 77380-3181

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689669525 Mouhamed Hazem El Zufari Family Medicine 9303 Pinecroft Dr, Suite 340, The Woodlands, TX 77380-3181 2005-09-16
1508232299 Lonestar Spine Specialists Pllc Physical Medicine & Rehabilitation 9303 Pinecroft Dr, Suite 320, The Woodlands, TX 77380-3181 2015-08-17
1679959779 Pain Addiction Consultants, Pllc Anesthesiology 9303 Pinecroft Dr, Suite 320, The Woodlands, TX 77380-3181 2015-07-31
1285027326 Lone Star Vein Centers, P.a. Surgery 9303 Pinecroft Dr, Suite 350, The Woodlands, TX 77380-3181 2015-03-13
1174928550 Fiant Wellness Group Anesthesiology 9303 Pinecroft Dr, Suite 320, The Woodlands, TX 77380-3181 2014-10-28
1386985711 Gabbrielle Ann Williams Chiropractor 9303 Pinecroft Dr, Suite 200, The Woodlands, TX 77380-3181 2013-03-11
1609199876 Shane O Smith Physician Assistant 9303 Pinecroft Dr, Suite 320, The Woodlands, TX 77380-3181 2010-03-02
1437324480 Mandy Sue Harting Dermatology 9303 Pinecroft Dr, Suite 150, The Woodlands, TX 77380-3181 2008-04-29
1154595270 Ryan O'neill Mcdonald Psychiatry & Neurology 9303 Pinecroft Dr, Suite 270, The Woodlands, TX 77380-3181 2008-04-18
1740484872 Jeffrey Ronald Cain Physical Therapist 9303 Pinecroft Dr, The Woodlands, TX 77380-3181 2007-06-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952874034 Elevated Neuro LLC Specialist/Technologist, Other 719 Sawdust Rd Ste 213, The Woodlands, TX 77380 2019-01-10
1588139851 Sara Barchie Dietitian, Registered 26113 Oak Ridge Drive, Suite A, The Woodlands, TX 77380 2018-10-12
1730664988 Global Bionics, LLC Durable Medical Equipment & Medical Supplies 1001 Medical Loop, Ste 220, Spring, TX 77380 2018-10-03
1104309350 Kristina Nicole Zills Psychologist 26205 Oak Ridge Dr. Suite 103, The Woodlands, TX 77380 2018-09-13
1972094365 Southern Texas Allergy The Woodlands Allergy & Immunology 9191 Pinecroft Dr Ste 290, Shenandoah, TX 77380 2018-05-22
1609373992 Joy Adaku Ekwueme Nurse Practitioner Main Street Medical Clinic, 1120 Medical Plaza Dr, Suite 335, Shenandoah, TX 77380 2018-04-12
1821517103 Catalyst Medical Suites, LLC Clinic/Center 1544 Sawdust Rd Ste 280, Spring, TX 77380 2017-09-18
1114440898 Elanor Sung Massage Therapist 26103 I 45, Ste 102, The Woodlands, TX 77380 2017-07-25
1043732555 Chinyere Obiakwata Nurse Practitioner 201 Pruitt Rd Apt 430, Spring, TX 77380 2017-07-17
1295261055 Nafeiza Persaud Counselor 25301 Borough Park Dr Ste 125, Spring, TX 77380 2017-05-11
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Taxonomy Information

Taxonomy Code 222Z00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Orthotist

Taxonomy 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.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548869225 Anna Christine Brown Orthotist 12880 Hillcrest Rd Ste J216, Dallas, TX 75230-1532 2020-10-22
1861009912 Sarah Spinelli Orthotist 555 D Round Rock West Drive, Suite 100, Round Rock, TX 78681 2020-09-23
1639713597 Amanda Coldren Orthotist 6011 Harry Hines Blvd Ste 302, Dallas, TX 75235-5386 2019-11-04
1184266785 Duran H Pardue Orthotist 6011 Harry Hines Blvd Fl 2, Dallas, TX 75235-5386 2019-10-15
1326692351 Steven Gomez Herrera Sr. Orthotist 7410 John Smith Dr Ste 213, San Antonio, TX 78229-6000 2019-07-29
1669034831 Madeline Maya Gougeon Orthotist Hope Orthotics, LLC - Attn: Maya Gougeon, Lo, 230 Spring Hill Drive, Suite 335, Spring, TX 77386-2388 2019-07-08
1275048852 Phuoc Nguyen Orthotist 1721 W Plano Pkwy Ste 212, Plano, TX 75075 2017-12-05
1316452147 Abigail Catherine Genet Orthotist 6011 Harry Hines Blvd Suite V5.400, Dallas, TX 75390-0001 2017-12-01
1407370414 Katelyn Suzanne Cummings Orthotist 230 Spring Hill Dr Ste 335, Spring, TX 77386-2388 2017-08-01
1154843647 Nicholas Robison Brown Orthotist 6011 Harry Hines Blvd Ste V2302, Dallas, TX 75235-5386 2017-07-17
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Competitor

Search similar providers

City THE WOODLANDS
Zip Code 77380

Improve Information

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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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