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CLARK FAMILY CARE LLC NPI 1831481688


NPI Information

NPI: 1831481688
Provider Name: CLARK FAMILY CARE, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4240 BLUE RIDGE BLVD
SUITE 611
KANSAS CITY, MO
ZIP 64133
Phone: (816) 356-2020
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CLARK FAMILY CARE, LLC is a family medicine in Kansas City, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CLARK FAMILY CARE, LLC NPI is 1831481688. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4240 BLUE RIDGE BLVD
SUITE 611
KANSAS CITY, MO
ZIP 64133-713
Phone: (816) 356-2020
Fax: (816) 356-2022

The provider's authorized official is Tara Clark .
The authorized official title is Physician/owner and has the following contact phone number (816) 356-2020.

The enumeration date for this NPI number is 5/12/2011 and was last updated on 2/20/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine2004023907MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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