David Frederick Clark in Overland Park - Student In An Organized Health Care Education/training Program
David Frederick Clark - NPI 1629230479
David Frederick Clark is a Student In An Organized Health Care Education/training Program in Overland Park, Kansas. David Frederick Clark practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for David Frederick Clark is 1629230479. The last update date is 2013-06-12.
David Frederick Clark's current location address is 12140 Nall Ave, Overland Park, Kansas. You can contact this provider via phone number 9136619448 and fax number 9136614688. The mailing address for David Frederick Clark is 12140 Nall Ave, Overland Park, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Frederick Clark |
|---|---|
| Address | 12140 Nall Ave, Overland Park, Kansas |
| Phone Number | 9136619448 |
| Fax Number | 9136614688 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1629230479 |
|---|---|
| Provider Enumeration Date | 2008-07-01 |
| Last Updated Date | 2013-06-12 |
Provider Mailing Address Detail
| Address | 12140 Nall Ave |
|---|---|
| City | Overland Park |
| State | Kansas (KS) |
| Post Code | 662092503 |
| Phone Number | 9136619448 |
| Fax Number | 9136614688 |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
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Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
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Post Comment/ Review Below
What is the unique identification code assigned to David Frederick Clark by the Centers for Medicare & Medicaid Services?
The David Frederick Clark has been issued the NPI (National Provider Identifier) 1629230479. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of David Frederick Clark?
The David Frederick Clark is situated at 12140 Nall Ave, in the city of Overland Park, state of KS, with the zip code 662092503.
What is David Frederick Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The David Frederick Clark's area of specialization is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code that categorizes this field of practice is 390200000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1629230479 to David Frederick Clark?
The Centers for Medicare & Medicaid Services assigned the 1629230479 to David Frederick Clark on 2008-07-01.
When was the information regarding David Frederick Clark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to David Frederick Clark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-06-12.