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DR. KIMBALL G CLARK MD
NPI 1689615502
Radiology - Diagnostic Radiology in Syracuse, NY

Active since June 10, 2006
750 E ADAMS ST, 3RD FLOOR RADIOLOGY, SYRACUSE, NY 13210(315) 464-6672 Get Directions Write a Review

NPPES record last updated: March 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kimball G Clark Md NPPES

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

DR. KIMBALL G CLARK MD (NPI 1689615502) is an individual diagnostic radiology provider in Syracuse, New York, licensed in New York (1547881) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1689615502
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. KIMBALL G CLARKCredential: MD
Location Address750 E ADAMS ST, 3RD FLOOR RADIOLOGYSyracuse, NY 13210-2306
Mailing Address224 Harrison St, Suite 601Syracuse, NY 13202-3056 · (315) 464-5660
Phone(315) 464-6672
Sole ProprietorNo
Enumeration DateJune 10, 2006
Last NPPES UpdateMarch 18, 2008
✔ NPI 1689615502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NY · 1547881
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License 1547881 (NY)
750 E ADAMS ST, Syracuse, NY 13210
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Other Identifiers 3

Medicare ID-Type Unspecified50616C
Medicaid01013661NY
Medicare UPINC59374

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.

DAVID M KANTER MD
Physical Medicine & Rehabilitation
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5820
BRENNAN ELLIS M.D.
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6202
UPSTATE UROLOGY, INC.
Urology
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6106
DR. AUDREY VICTORIA VANDEWALL DO
Pediatrics
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 408-5854
BETHANY A HAWKE MD
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-4363
BILLAL MOHMAND MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
DAYANA NASR MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
JARROD THOMAS ELLIS
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6635

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 Kimball Clark's NPI number?

The NPI number for Kimball Clark is 1689615502. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Kimball Clark located?

Kimball Clark practices at 750 E Adams St 3rd Floor Radiology, Syracuse, NY 13210. The listed phone number is (315) 464-6672.

What is Kimball Clark's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Kimball Clark was last updated on March 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.