Kevin S Clark, LMT, RAC is a
Massage Therapist based in Norwich, Vermont. Kevin S Clark is licensed to practice in New Hampshire (license number 1685R) and his current practice location is
312 Main St, 2nd Floor, Norwich, Vermont. He can be reached at his office (for appointments etc.) via phone at
(802) 649-5252.
NPI number for Kevin S Clark is 1972676617 and his current mailing address is Po Box 215, 312 Main Street, Norwich, Vermont. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972676617.
Healthcare Provider's Profile
| Full Name | Kevin S Clark |
|---|
| Gender | Male |
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| Speciality | Massage Therapist |
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| Location | 312 Main St, Norwich, Vermont |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1972676617
- Provider Enumeration Date: 11/17/2006
- Last Update Date: 11/24/2013
Medical Identifiers
Medical identifiers for Kevin S Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972676617 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 1685R (New Hampshire) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin S Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kevin S Clark, LMT, RAC
Po Box 215, 312 Main Street,
Norwich, VT 05055-0215
Ph: (802) 649-5252 | Kevin S Clark, LMT, RAC
312 Main St, 2nd Floor,
Norwich, VT 05055-4418
Ph: (802) 649-5252 |
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