NPI 1063160695
Gavin Kestral Clark, MD
Practice location
- Address
- 110 Irving St NW STE Na1177, Washington, DC 20010-3017
- Phone
- (202) 373-9969
Registered specialties (3)
Emergency Medicine Physician
Primary
Emergency Medicine Physician
Emergency Medicine Physician
Registry record
- NPI
- 1063160695
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 Mar 2022
- Record last updated
- 25 Apr 2026
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.