IndividualActive
Brian Clarke, MD
NPI 1366804536 · Surgical Critical Care Physician · Edgewood, KY
Provider details
- NPI number
- 1366804536
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 57309 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
20 Medical Village Dr
Edgewood, KY 41017-5401
Phone: (859) 578-5880
Fax: (859) 578-5881
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 635283
Cincinnati, OH 45263-5283
Registry dates
- Enumerated
- 2016-03-25
- Last updated
- 2024-11-21
- Certified
- 2024-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.