Individual
KENDALL R. CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
119 SW MAYNARD RD STE 150, CARY, NC 27511-4472
(919) 578-8593
Mailing address
119 SW MAYNARD RD STE 150, CARY, NC 27511-4472
(919) 578-8593
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35.144519
OH
207Q00000X
Family Medicine Physician
Primary
200200101
NC
207Q00000X
Family Medicine Physician
ME65017
FL
Other
Enumeration date
01/30/2007
Last updated
05/13/2025
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