IndividualActive
Kenny Clark
NPI 1174373252 · Driver · Shaker Heights, OH
Kenny Clark is a Driver provider in Shaker Heights, OH (NPI 1174373252).
Provider details
- NPI number
- 1174373252
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3686 Ingleside Rd
Shaker Heights, OH 44122-5056
Phone: (216) 816-8129
Street-level locationGet directions
Mailing address
11811 Shaker Blvd
Cleveland, OH 44120-1931
Registry dates
- Enumerated
- 2024-03-25
- Last updated
- 2024-03-25
- Certified
- 2024-03-20
Frequently asked questions
- What is Kenny Clark's NPI number?
- Kenny Clark's National Provider Identifier (NPI) is 1174373252, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenny Clark's specialty?
- Kenny Clark is listed in the NPPES registry with a primary specialty of Driver (Other Service Providers).
- Where is Kenny Clark located?
- Kenny Clark's practice location on file with NPPES is 3686 Ingleside Rd, Shaker Heights, OH 44122-5056.
- What is Kenny Clark's phone number?
- The practice phone number listed in the NPPES registry for Kenny Clark is (216) 816-8129.
- Is Kenny Clark's NPI active?
- Yes — Kenny Clark's NPI (1174373252) is active in the NPPES registry as of the last update on 2024-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.