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IndividualActive

Paven Clark

Student in an Organized Health Care Education/Training Program

NPI: 1255296521Lake Ozark, Missouri, 65049(618) 663-1028Male

About Paven Clark

Paven Clark is a male healthcare professional specializing in Student in an Organized Health Care Education/Training Program, registered under National Provider Identifier (NPI) number 1255296521. Their primary practice is located at 31 BLUFF RIDGE DR UNIT 1B, Lake Ozark, Missouri 65049.

Patients can reach the office at (618) 663-1028. Paven Clark has been NPI-registered since 2025.

Doctor Details

Identity & Credentials

NPI Number
1255296521
Entity Type
Individual
First Name
Paven
Last Name
Clark
Gender
Male
Sole Proprietor
No
Status
active

Primary Practice Location

Address
31 BLUFF RIDGE DR UNIT 1B
City
Lake Ozark
State
Missouri
ZIP
65049-6343
Country
United States
Phone
(618) 663-1028

Specialty & Taxonomy

Primary Specialty
Student in an Organized Health Care Education/Training Program
Classification
Student in an Organized Health Care Education/Training Program
Taxonomy Code
390200000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
31 BLUFF RIDGE DR UNIT 1B
City
LAKE OZARK
State
MO
ZIP
650496343

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Paven Clark's NPI number?
Paven Clark's National Provider Identifier (NPI) is 1255296521. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Paven Clark specialize in?
Paven Clark specializes in Student in an Organized Health Care Education/Training Program.
Where is Paven Clark located?
Paven Clark practices at 31 BLUFF RIDGE DR UNIT 1B, Lake Ozark, Missouri 65049. You can reach them by phone at (618) 663-1028.
Does Paven Clark accept Medicare?
Based on available data, Paven Clark is not currently enrolled in the Medicare program.
Does Paven Clark offer telehealth or virtual visits?
Paven Clark does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Paven Clark is 1255296521.