Clark, Cameron Keith

Clark, Cameron Keith is an individual health care provider with primary practice located at 3100 W Mccormick St , Wichita KS 67213-2008. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Clark, Cameron Keith can be contacted via phone (316) 942-4291.

Contact Information

Primary practice address
3100 W Mccormick St Wichita KS 67213-2008
Phone: (316) 942-4291
Fax: (316) 942-4483
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 24-00037 Kansas

Profile Details

NPI number 1124236146
LBN Legal business name Clark, Cameron Keith
Credentials Licensed Athletic Trainer, Certified (LATC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Apr 28th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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