Cameron Keith Clark in Wichita - Athletic Trainer
Cameron Keith Clark - NPI 1124236146
Cameron Keith Clark is a Athletic Trainer in Wichita, Kansas. Cameron Keith Clark practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Cameron Keith Clark is 1124236146. The last update date is 2014-04-28.
Cameron Keith Clark's current location address is 3100 W Mccormick St, Wichita, Kansas. You can contact this provider via phone number 3169424291 and fax number 3169424483. The mailing address for Cameron Keith Clark is 3100 W Mccormick St, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cameron Keith Clark |
|---|---|
| Address | 3100 W Mccormick St, Wichita, Kansas |
| Phone Number | 3169424291 |
| Fax Number | 3169424483 |
| Sole Proprietor | N |
| Credentials | L.ATC |
NPI Number Detail
| NPI Number | 1124236146 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2014-04-28 |
Provider Mailing Address Detail
| Address | 3100 W Mccormick St |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672132008 |
| Phone Number | 3169424291 |
| Fax Number | 3169424483 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | 24-00037 |
|
Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
|
Post Comment/ Review Below
What is the unique identification code assigned to Cameron Keith Clark by the Centers for Medicare & Medicaid Services?
The Cameron Keith Clark has been issued the NPI (National Provider Identifier) 1124236146. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Cameron Keith Clark is located?
The Cameron Keith Clark is situated at the following address: 3100 W Mccormick St, Wichita, KS, 672132008.
What is the Cameron Keith Clark's specialty and taxonomy code?
The Cameron Keith Clark's specialty is Athletic Trainer, and the corresponding taxonomy code is 2255A2300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124236146 to Cameron Keith Clark?
The Cameron Keith Clark received its 1124236146 assignment from the Centers for Medicare & Medicaid Services on 2007-05-21.
As of what date were the details related to Cameron Keith Clark most recently updated or revised?
The information pertaining to Cameron Keith Clark, including its address, specialty, and other relevant details, was last updated or revised on 2014-04-28.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA