IndividualActive
Keith Clark, MD PHD
NPI 1376506642 · Otolaryngology Physician · Oklahoma City, OK
Provider details
- NPI number
- 1376506642
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 14220 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
535 Nw 9th St
Suite 300
Oklahoma City, OK 73102-1070
Phone: (405) 272-6027
Fax: (405) 272-8315
Approximate (ZIP-level) locationGet directions
Mailing address
535 Nw 9th St
Oklahoma City, OK 73102-1070
Registry dates
- Enumerated
- 2006-04-08
- Last updated
- 2020-10-18
- Certified
- 2020-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.