Provider Profile

Kevin S. Clark, M.M.S., PA-C

Unclaimed Profile

About Kevin Clark

Listed in the NPI registry as a physician assistant, Kevin S. Clark, M.M.S., PA-C practices in Daytona Beach, FL. Kevin is also listed as specializing in physician assistant — medical and emergency medicine. NPI 1235370743 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2009

Specialty

Physician Assistant (Primary)
Physician Assistant — Medical (Additional)
Emergency Medicine (Additional)

Credentials & Licensing

FL licenceAs reported to the NPI registry
No. PA9108797As reported
IL licenceAs reported to the NPI registry
No. 085003431As reported
NPINational Provider Identifier
1235370743Issued 2009

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Kevin S. Clark, M.M.S.?

Kevin S. Clark, M.M.S. is a physician assistant in Daytona Beach, FL. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Kevin S. Clark, M.M.S.'s address?

Kevin S. Clark, M.M.S. is listed at 103 Memorial Medical Pkwy Ste 125, Daytona Beach, FL 32117. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Kevin S. Clark, M.M.S.?

The number on file is (386) 274-0250. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Kevin S. Clark, M.M.S.?

Kevin S. Clark, M.M.S.'s National Provider Identifier is 1235370743. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Kevin S. Clark, M.M.S. train?

Kevin S. Clark, M.M.S. attended Other, graduating in 2009. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Kevin S. Clark, M.M.S. have?

Kevin S. Clark, M.M.S. has 17 years experience. Calculated from a graduation year of 2009, reported in the CMS National Downloadable File.

CMS public data

Is Kevin S. Clark, M.M.S.'s profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Kevin S. Clark, M.M.S.. If this is you, claiming it is free.

Guide.md

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