Clark, Tracy A
Clark, Tracy A is an individual health care provider with primary practice located at 21624 Midland Dr , Shawnee KS 66218-9064. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clark, Tracy A can be contacted via phone (913) 643-0075.Contact Information
Primary practice address
21624 Midland Dr
Shawnee KS 66218-9064
Phone: (913) 643-0075
Fax: (913) 643-0077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 45920 | Kansas |
Profile Details
| NPI number | 1598778854 |
|---|---|
| LBN Legal business name | Clark, Tracy A |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Jan 4th, 2018 - about 6 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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