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Casey Clark

NPI 1306340286 · on the registry since 2018

Practice

Address
1850 Bypass Rd
Winchester, KY 40391
Phone
(859) 744-5111
Fax
(859) 744-1177
Clinicians at this address
10

Additional practice sites

  • 900 S Limestone Ctw 304, Lexington, KY

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
208000000X
390200000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky