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KENNETH CLARK M.D.
NPI 1356325518
Specialist in Milwaukee, WI

Active since December 01, 2005
2025 E NEWPORT AVE, MILWAUKEE, WI 53211(414) 961-3841 Get Directions Write a Review

NPPES record last updated: August 13, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth Clark M.d. NPPES

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

KENNETH CLARK M.D. (NPI 1356325518) is an individual specialist in Milwaukee, Wisconsin, licensed in Wisconsin (22673) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1356325518
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameKENNETH CLARKCredential: M.D.
Location Address2025 E NEWPORT AVEMilwaukee, WI 53211-2906
Mailing Address500 W Brown Deer Rd, Suite 202Bayside, WI 53217-1627
Phone(414) 961-3841
Sole ProprietorNo
Enumeration DateDecember 1, 2005
Last NPPES UpdateAugust 13, 2007
✔ NPI 1356325518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WI · 22673
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2025 E NEWPORT AVE, Milwaukee, WI 53211
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Other Providers at the Same Location NPPES 20

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

DR. STEPHEN R THOMPSON M.D.
Anesthesiology
2025 E NEWPORT AVE
MILWAUKEE, WI 53211
Milwaukee County (414) 961-3300
MISS DEANNA MARIE FUSTER SLP
Speech-Language Pathologist
2025 E NEWPORT AVE
MILWAUKEE, WI 53211
Milwaukee County (414) 298-6759
MS. CONSTANCE PHILLIPS
Social Worker (Clinical)
2025 E NEWPORT AVE
MILWAUKEE, WI 53211
Milwaukee County (414) 251-8358
COLUMBIA CARDIOGRAPHIC CONSULTANTS, LTD.
Internal Medicine (Cardiovascular Disease)
2025 E NEWPORT AVE
MILWAUKEE, WI 53211
Milwaukee County (414) 961-3300
MS. CHERYL L MARTENS MS CCC SLP
Speech-Language Pathologist
2025 E NEWPORT AVE
MILWAUKEE, WI 53211
Milwaukee County (414) 961-4160
CINDY MARIE HRDI M.S., CCC-SLP
Speech-Language Pathologist
2025 E NEWPORT AVE
MILWAUKEE, WI 53211
Milwaukee County (414) 961-4160
STEPHEN C. BECKER, M.D., S.C.
Anesthesiology
2025 E NEWPORT AVE
MILWAUKEE, WI 53211
Milwaukee County (414) 961-3300
MRS. LAURA BETH KING COTA
General Acute Care Hospital
2025 E NEWPORT AVE
MILWAUKEE, WI 53211
Milwaukee County (414) 961-4996

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 Kenneth Clark's NPI number?

The NPI number for Kenneth Clark is 1356325518. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Kenneth Clark located?

Kenneth Clark practices at 2025 E Newport Ave, Milwaukee, WI 53211. The listed phone number is (414) 961-3841.

What is Kenneth Clark's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kenneth Clark was last updated on August 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.