Individual
MR. KENA ANTHONY CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ORTHOPAEDIC TECH
Contact information
Practice address
4700 SHERIDAN ST, HOLLYWOOD, FL 33021-3420
(954) 961-3500
(954) 961-1835
Mailing address
7650 FARRAGUT ST, HOLLYWOOD, FL 33024-2628
(954) 857-9008
Taxonomy
Speciality
Code
Description
License number
State
246ZX2200X
Orthopedic Assistant
Primary
13-0212
FL
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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