KENNETH CLARK JR. STRATTON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1023582947

Certified Registered Nurse Anesthetist

KENNETH CLARK JR. STRATTON (CRNA) is a healthcare provider. based in Salt lake city, Utah. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 60377 (ID). The NPI Number for KENNETH CLARK JR. STRATTON (CRNA) is 1023582947

Main info

Male

8 Years Of Experience

Accepts Medicare Assignment

Name

KENNETH CLARK JR. STRATTON (CRNA)

NPI

1023582947

Phone

Not provided

Address

PO BOX 3750

Enumeration Date

14 January 2019

Last Update Date

14 January 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2083676416

Graduation Year

2018 (8 years ago)

PAC ID

6002154887

Group Practice PAC ID

8426960642

Professional Enrollment ID

I20190221000971

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience28

Completeness75

Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for KENNETH CLARK JR. STRATTON (CRNA)

PO BOX 3750
SALT LAKE CITY, UT 841103750
Phone:
Type: Mailing
Saint Alphonsus Regional Medical Center, 1055, North Curtis Road, Boise Junction, Boise, Ada County, Idaho, 83706, United States
BOISE, ID 837061309
Phone: (208) 367-2559
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84110)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 8426960642View full group profile

Name	Specialty	State
KYLE SOMSEN	-	UT
DONALD JAMES FOX (MD)	-	OR
SHELLEY MARIE JACKS (MD)	-	OR
Unknown Individual	-	OR
KEVIN EUGENE KARTCHNER (MD)	-	OR

Reviews

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Frequently asked questions

Where can patients find KENNETH CLARK JR. STRATTON (CRNA)'s NPI?

You can confirm KENNETH CLARK JR. STRATTON (CRNA) with NPI 1023582947; it appears in the national provider directory.

Does this profile mean KENNETH CLARK JR. STRATTON (CRNA) is currently active?

Yes — KENNETH CLARK JR. STRATTON (CRNA) appears active in the national provider directory.

Does KENNETH CLARK JR. STRATTON (CRNA) list a primary specialty?

If you are matching referrals, note Certified Registered Nurse Anesthetist for KENNETH CLARK JR. STRATTON (CRNA). Clinical services aligned with this taxonomy classification.

Where does public data place KENNETH CLARK JR. STRATTON (CRNA)?

The snapshot lists Salt Lake City, Utah for KENNETH CLARK JR. STRATTON (CRNA); download NPPES for the complete set.

Does Medicare enrollment show here?

Medicare enrollment screens are separate from the basic NPI extract shown here.