Individual
WILLIAM KYLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
313 W MAIN ST, MORGANFIELD, KY 42437-1424
(270) 952-5450
Mailing address
PO BOX 641268, CINCINNATI, OH 45264-0304
(270) 745-1467
(270) 745-1156
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
262418
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91011148
—
KY
Enumeration date
05/25/2007
Last updated
03/06/2023
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