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 7 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.
Popular Providers
-
Jarczyk, Kelly
225700 W 55Th Terr , Shawnee KS 66226-0000 -
Oetting, Stephanie Danielle
7230 Renner Rd , Shawnee KS 66217-9901 -
Makona, Jane Violet
13550 W 63Rd St , Shawnee KS 66216-3814 -
Moua, Pang Cheng
12802 Johnson Dr , Shawnee KS 66216-1645 -
Lyles, Allison
7405 Renner Rd , Shawnee KS 66217-9414 -
Scott, Andrea Jean
22700 W 55Th Ter , Shawnee KS 66226-5602 -
Watson, Kelly M
22742 Midland Dr , Shawnee KS 66226-3553 -
Van Daalen, Elisa
7405 Renner Rd , Shawnee KS 66217-9414