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Dr. Kirby Dwight Clark, M.D.

Family Medicine Physician in Saint Paul, MN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1447288311

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Registry record

Entity type Individual (Type 1)
Name Dr. Kirby Dwight Clark
Credential M.D.
Sex Male
Practice address Ufp Phalen Village Clinic, 1414 Maryland Avenue East, Saint Paul, MN, 55106
Phone (651) 772-3461
Fax (651) 772-2605
Enumeration date Jun 29, 2006
Last updated in NPPES Jul 9, 2007

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 45690 (MN) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
A024 Other MN CHAMPUS
HP54853 Other MN HEALTHPARTNERS
01-21349 Other MN MEDICA CHOICE & PRIMARY
0567727 Medicaid IA -
128460600 Medicaid MN -
2374581 Other MN ARAZ
676T8CL Other MN BCBS
1044612 Other MN PREFERRED ONE
135432 Other MN UCARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Kirby Clark?
Kirby Clark is registered in NPPES with the primary taxonomy of Family Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-09.