Individual
KURT S CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3361 MALORY CIR NW, CANTON, OH 44708-1168
(330) 418-2811
Mailing address
4216 TIMBERIDGE AVE NW, MASSILLON, OH 44646-1372
(330) 806-4816
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
7602259
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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