NPI 1023891173
Braydon Kyle Clark
Practice location
- Address
- 3825 Edwards Rd STE 103, Cincinnati, OH 45209-1262
- Phone
- (502) 883-8425
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1023891173
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 Aug 2023
- Record last updated
- 14 Aug 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.