Individual
KEVIN GRAFTON CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D., P.A.
Contact information
Practice address
5310 HIGHWAY 25, SUITE 5, FLOWOOD, MS 39232-6148
(601) 919-0040
(601) 919-0083
Mailing address
5310 HIGHWAY 25, SUITE 5, FLOWOOD, MS 39232-6148
(601) 919-0040
(601) 919-0083
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
498
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087918
—
MS
Enumeration date
06/07/2006
Last updated
06/16/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us