KENNY CLARK SR.
NPI 1174373252
Driver in Shaker Heights, OH

Active since March 25, 2024
3686 INGLESIDE RD, SHAKER HEIGHTS, OH 44122(216) 816-8129 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenny Clark Sr. NPPES

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

KENNY CLARK SR. (NPI 1174373252) is an individual driver provider in Shaker Heights, Ohio and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1174373252
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameKENNY CLARK SR.
Location Address3686 INGLESIDE RDShaker Heights, OH 44122-5056
Mailing Address11811 Shaker BlvdCleveland, OH 44120-1931 · (216) 584-8564
Sole ProprietorYes
Enumeration DateMarch 25, 2024
NPPES CertifiedMarch 20, 2024
NPI 1174373252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
3686 INGLESIDE RD, Shaker Heights, OH 44122

Other Providers at the Same Location NPPES

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

Home Health
3686 INGLESIDE RD
SHAKER HEIGHTS, OH 44122

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 Kenny Clark's NPI number?

The NPI number for Kenny Clark is 1174373252. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Kenny Clark located?

Kenny Clark practices at 3686 Ingleside Rd, Shaker Heights, OH 44122. The listed phone number is (216) 816-8129.

What is Kenny Clark's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Kenny Clark was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.