| Kevin Dewitt Clark, AP | |
|
130 N Dixie Hwy, Hollywood, FL 33020-6704 | |
| (954) 719-4078 | |
| (186) 661-0623 |
| Full Name | Kevin Dewitt Clark |
|---|---|
| Gender | Male |
| Speciality | Acupuncturist |
| Location | 130 N Dixie Hwy, Hollywood, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033361381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | AP424 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Dewitt Clark, AP 130 N Dixie Hwy, Hollywood, FL 33020-6704 Ph: (954) 719-4078 | Kevin Dewitt Clark, AP 130 N Dixie Hwy, Hollywood, FL 33020-6704 Ph: (954) 719-4078 |
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