Individual
JAMES MICHAEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 W 17TH ST, HOPKINSVILLE, KY 42240-1911
(270) 885-3414
(270) 885-7631
Mailing address
PO BOX 595, HOPKINSVILLE, KY 42241-0595
(270) 885-3414
(270) 885-7631
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
31186
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64311863
—
KY
Enumeration date
04/07/2006
Last updated
07/08/2007
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