Kevin L Clark, MD in Davidsonville, MD - Pediatrics

Kevin L Clark, MD is a Pediatrics physician based in Davidsonville, Maryland. Kevin L Clark is licensed to practice in Maryland (license number D47201) and his current practice location is 2772 Rutland Rd, Davidsonville, Maryland. He can be reached at his office (for appointments etc.) via phone at (410) 721-2273.

NPI number for Kevin L Clark is 1578776217 and his current mailing address is 2772 Rutland Rd, Davidsonville, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578776217.

Contact Information

	Kevin L Clark, MD
	2772 Rutland Rd, Davidsonville, MD 21035-1228
	(410) 721-2273
	(410) 798-4069

Physician's Profile

Full Name	Kevin L Clark
Gender	Male
Speciality	Pediatrics
Location	2772 Rutland Rd, Davidsonville, Maryland
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1578776217
Provider Enumeration Date: 05/08/2007
Last Update Date: 03/07/2023

Medical Identifiers

Medical identifiers for Kevin L Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578776217	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	D47201 (Maryland)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin L Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kevin L Clark, MD 2772 Rutland Rd, Davidsonville, MD 21035-1228 Ph: (410) 721-2273	Kevin L Clark, MD 2772 Rutland Rd, Davidsonville, MD 21035-1228 Ph: (410) 721-2273

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Pediatrics Doctors in Davidsonville, MD

Dr. Robert G. Graw Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2772 Rutland Rd, Davidsonville, MD 21035 Phone: 410-798-1705 Fax: 443-332-4265
Dr. Valory T. Hill, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2772 Rutland Rd, Davidsonville, MD 21035 Phone: 410-798-6133

Kevin L Clark, MD - Pediatrics in Davidsonville, MD