Clarkson Clinic, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

14881 Issued in KY

Legal business name

CLARKSON CLINIC, PLLC

Practice address

625 W Main St
Clarkson, KY 42726-7044

Phone

(270) 242-2311

Fax

(270) 242-7007

NPI assigned

Aug 31, 2006

Last updated

May 16, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Victor F Duvall, MD

Title

Sole Member

Phone

(270) 242-2311

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1104937820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "CLARKSON",
            "state": "KY",
            "postal_code": "427260158",
            "telephone_number": "270-242-2311",
            "fax_number": "270-242-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W MAIN ST",
            "city": "CLARKSON",
            "state": "KY",
            "postal_code": "427267044",
            "telephone_number": "270-242-2311",
            "fax_number": "270-242-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSON CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "DUVALL",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "270-242-2311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KY",
            "license": "14881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2813857000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100011620",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Beville
• Diana Lynn Blair, FNP-C
• Jenna Bratcher, APRN
• Brightview LLC
• Mahalie Cain
• Clarkson Diabetic Shoes & More, LLC
• Clarkson Drug Store, Inc. (Clarkson Drug Store)
• Jessica Lane Clemons, MSW, LCSW
• Mark Evan Demuth, D.O.
• Everlasting Arms Family Counseling Center, LLC

• Clinic/Center in Clarkson, KY
• Providers in Clarkson, KY by specialty
• Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.