Kevin Clark

  • NPI 1245851104
According to our database, the NPI number for Kevin Clark is 1245851104 and activated since 4 years ago. Kevin Clark is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 10615 Judicial Dr Ste 403, Fairfax, VA 22030. You can also contact Kevin Clark via telephone number is (703) 565-3783. Provider NPI information was last updated on 04/26/2021.

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Overview of Kevin Clark

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/01/2020
  • Last updated: 04/26/2021

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 0710103244
  • License State: VA

Provider Mailing Address

  • Address: 7900 Scully Ct
    Manassas, VA 20111
  • Phone: 703-477-4830
  • Fax:

Provider Practice Location

  • Address: 10615 Judicial Dr Ste 403
    Fairfax, VA 22030
  • Phone: 703-565-3783
  • Fax: 571-285-4001

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kevin Clark?
  • A: The npi number for Kevin Clark is 1245851104.
  • Q: What are Kevin Clark's specialties?
  • A: Kevin Clark's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Kevin Clark?
  • A: The medical license number for Kevin Clark is 0710103244 and issued in VA in USA.
  • Q: Where is Kevin Clark practice location?
  • A: Kevin Clark is practicing at 10615 Judicial Dr Ste 403, Fairfax, VA 22030.
  • Q: How to contact Kevin Clark?
  • A: You can contact Kevin Clark via 703-565-3783.
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