Kendra Marie Clark in Scottsdale - Physician Assistant

Kendra Marie Clark - NPI 1821284787

Kendra Marie Clark is a Physician Assistant in Scottsdale, Arizona. Kendra Marie Clark practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kendra Marie Clark is 1821284787. The last update date is 2023-03-06.

Kendra Marie Clark's current location address is 9312 E Raintree Dr, Scottsdale, Arizona. You can contact this provider via phone number 4803744339. The mailing address for Kendra Marie Clark is 9312 E Raintree Dr, Scottsdale, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Kendra Marie Clark
Address 9312 E Raintree Dr, Scottsdale, Arizona
Phone Number 4803744339
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1821284787
Provider Enumeration Date 2007-09-24
Last Updated Date 2023-03-06

Provider Mailing Address Detail

Address 9312 E Raintree Dr
City Scottsdale
State Arizona (AZ)
Post Code 852602094
Phone Number 4803744339
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 4574
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Kendra Marie Clark

What is the unique 10-digit identification code issued to Kendra Marie Clark by the Centers for Medicare & Medicaid Services?

The Kendra Marie Clark has been assigned the NPI (National Provider Identifier) 1821284787 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Kendra Marie Clark located?

The Kendra Marie Clark is located at 9312 E Raintree Dr, Scottsdale, AZ 852602094.

What is Kendra Marie Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kendra Marie Clark is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

When did Kendra Marie Clark receive its 1821284787 assignment?

The Kendra Marie Clark was assigned its 1821284787 on 2007-09-24, which is the date when this unique identifier was issued to the organization.

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

The information related to Kendra Marie Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-06.

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