Individual
VINCENT DEVIN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1230 MARKET ST STE A, LA GRANGE, KY 40031-7986
(502) 225-6900
(502) 666-7693
Mailing address
1230 MARKET ST STE A, LA GRANGE, KY 40031-7986
(502) 225-6900
(502) 666-7693
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61113
KY
Other
Enumeration date
05/05/2020
Last updated
10/01/2025
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