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NPI 1356304786 · live from the CMS NPI Registry

James Michael Clark, MD

Radiology, Diagnostic Radiology in Hopkinsville, KY. National Provider Identifier 1356304786, active.

NPI record

NPI1356304786 Type 1 · individual
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice location215 W 17th St, Hopkinsville, KY 42240
Practice phone270-885-3414
Mailing addressPo Box 595, Hopkinsville, KY 42241
EnumeratedApril 7, 2006
Last updatedJuly 8, 2007
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology primary2085R0202X31186 (KY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.