Individual
DR. KENNETH P CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
65 ROCHESTER HILL RD, ROCHESTER, NH 03867-3231
(603) 332-8569
(603) 332-5546
Mailing address
65 ROCHESTER HILL RD, ROCHESTER, NH 03867-3231
(603) 332-8569
(603) 332-5546
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NH0659
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30011388
—
NH
Enumeration date
01/26/2006
Last updated
07/20/2012
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