Kristie M Clark in Elkhart - Pediatrics

Kristie M Clark - NPI 1558473884

Kristie M Clark is a Pediatrics in Elkhart, Kansas. Kristie M Clark practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kristie M Clark is 1558473884. The last update date is 2022-09-22.

Kristie M Clark's current location address is 445 Hilltop, Elkhart, Kansas. You can contact this provider via phone number 6206972141 and fax number 6207418203. The mailing address for Kristie M Clark is 445 Hilltop, Elkhart, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Kristie M Clark
Address 445 Hilltop, Elkhart, Kansas
Phone Number 6206972141
Fax Number 6207418203
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1558473884
Provider Enumeration Date 2006-08-31
Last Updated Date 2022-09-22

Provider Mailing Address Detail

Address 445 Hilltop
City Elkhart
State Kansas (KS)
Post Code 67950
Phone Number 6206972141
Fax Number 6207418203

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No L6831
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0082EV TX BLUE CROSS/BLUE SHIELD
137227810 TX --

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FAQs about Kristie M Clark

What is the unique 10-digit identifier code assigned to Kristie M Clark by the Centers for Medicare & Medicaid Services?

The Kristie M Clark has been issued the NPI (National Provider Identifier) 1558473884 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Kristie M Clark located?

The Kristie M Clark is located at 445 Hilltop, Elkhart, KS 67950.

What is Kristie M Clark's area of expertise and its corresponding taxonomy classification?

The Kristie M Clark's field of specialization is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Kristie M Clark receive its 1558473884 assignment from the Centers for Medicare & Medicaid Services?

The Kristie M Clark was assigned its 1558473884 by the Centers for Medicare & Medicaid Services on 2006-08-31.

As of what date was the information pertaining to Kristie M Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kristie M Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-09-22.

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