Individual
DR. KENNETH HOWARD CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 CORPORATE POINTE STE 300, CULVER CITY, CA 90230-7620
(310) 889-6080
Mailing address
400 CORPORATE POINTE STE 300, CULVER CITY, CA 90230-7620
(310) 889-6080
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
C205133
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD428842
PA
Other
Enumeration date
02/16/2011
Last updated
01/23/2026
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