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DR. ROBERT KENNETH CLARK M.D.
NPI 1376530600
Specialist in Oklahoma City, OK

Active since October 03, 2005
11317 S WESTERN AVE, 900, OKLAHOMA CITY, OK 73170(405) 691-8855(405) 691-8891 Get Directions Write a Review

NPPES record last updated: January 20, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Robert Kenneth Clark M.d. NPPES

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

DR. ROBERT KENNETH CLARK M.D. (NPI 1376530600) is an individual specialist in Oklahoma City, Oklahoma, licensed in Oklahoma (13610) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1376530600
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. ROBERT KENNETH CLARKCredential: M.D.
Location Address11317 S WESTERN AVE, 900Oklahoma City, OK 73170-5849
Mailing Address11401 S Western AveOklahoma City, OK 73170-5849 · (405) 735-3041 · Fax (405) 735-3146
Phone(405) 691-8855
Fax(405) 691-8891
Sole ProprietorNo
Enumeration DateOctober 3, 2005
Last NPPES UpdateJanuary 20, 2010
✔ NPI 1376530600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OK · 13610
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.
11317 S WESTERN AVE, Oklahoma City, OK 73170
Open in Google Maps ↗

Other Identifiers 2

Medicaid100060770BOK
Medicare UPIND34504OK

Other Providers at the Same Location NPPES 6

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

DR. RODNEY ARTHUR SANDBURG II D.D.S.
Dentist (General Practice)
11317 S WESTERN AVE, 400
OKLAHOMA CITY, OK 73170
Cleveland County (405) 378-6800
DAVID L. SCHWARTZ D.M.D.
Dentist (Oral and Maxillofacial Surgery)
11317 S WESTERN AVE, SUTIE 100B
OKLAHOMA CITY, OK 73170
Cleveland County (405) 691-0100
TAYLOR DRUG OPERATING SERVICES INC
Pharmacy (Long Term Care Pharmacy)
11317 S WESTERN AVE, STE 200
OKLAHOMA CITY, OK 73170
Cleveland County (405) 616-1941
CHRISTINE N. DYER PHARMD
Pharmacist
11317 S WESTERN AVE
OKLAHOMA CITY, OK 73170
Cleveland County (405) 616-1941
DR. DAVID L SCHWARTZ DMD
Dentist (Oral and Maxillofacial Surgery)
11317 S WESTERN AVE, SUITE 100B
OKLAHOMA CITY, OK 73170
Cleveland County (405) 691-0100
WESTMOORE DENTAL STUDIO
Dentist (General Practice)
11317 S WESTERN AVE, BUILDING 500
OKLAHOMA CITY, OK 73170
Cleveland County (405) 692-5800

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 Robert Clark's NPI number?

The NPI number for Robert Clark is 1376530600. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Robert Clark located?

Robert Clark practices at 11317 S Western Ave 900, Oklahoma City, OK 73170. The listed phone number is (405) 691-8855.

What is Robert 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 Robert Clark was last updated on January 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.