CLARKSON CLINIC, PLLC
NPI 1104937820
Clinic/Center in Clarkson, KY

Active since August 31, 2006
625 W MAIN ST, CLARKSON, KY 42726(270) 242-2311(270) 242-7007 Get Directions Write a Review

NPPES record last updated: May 16, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clarkson Clinic, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARKSON CLINIC, PLLC (NPI 1104937820) is a healthcare organization registered as a clinic/center in Clarkson, Kentucky and active in the NPI registry since August 2006. The organization lists Victor F Duvall, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1104937820
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCLARKSON CLINIC, PLLC
Location Address625 W MAIN STClarkson, KY 42726-7044
Mailing AddressPo Box 158Clarkson, KY 42726-0158 · (270) 242-2311 · Fax (270) 242-7007
Fax(270) 242-7007
Organization SubpartNo
Authorized OfficialVictor F DuvallSole Member · (270) 242-2311
Enumeration DateAugust 31, 2006
Last NPPES UpdateMay 16, 2008
NPI 1104937820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in KY · 14881
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

625 W MAIN ST, Clarkson, KY 42726

Other Identifiers 3

Other2813857000KY · Passport Advantage
Medicare ID-Type Unspecified00208KY
Medicaid7100011620KY

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Addiction Medicine)
625 W MAIN ST
CLARKSON, KY 42726
Clinic/Center
625 W MAIN ST
CLARKSON, KY 42726

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clarkson Clinic, PLLC's NPI number?

The NPI number for Clarkson Clinic, PLLC is 1104937820. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Clarkson Clinic, PLLC located?

Clarkson Clinic, PLLC is located at 625 W Main St, Clarkson, KY 42726. The listed phone number is (270) 242-2311.

What is Clarkson Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Clarkson Clinic, PLLC was last updated on May 16, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.