Individual
KENNETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
304 E BROADWAY ST STE 20, MOUNT PLEASANT, MI 48858-2364
(989) 317-3328
(989) 317-3329
Mailing address
304 E BROADWAY ST STE 20, MOUNT PLEASANT, MI 48858-2364
(989) 317-3328
(989) 317-3329
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3501008568
MI
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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