Clark, Alyson L.

Clark, Alyson L. is an individual health care provider with primary practice located at 4320 Wornall Rd Suite 50-Ii, Kansas City MO 64111-5941. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Clark, Alyson L. can be contacted via phone (816) 931-3312.

Contact Information

Primary practice address
4320 Wornall Rd Suite 50-Ii Kansas City MO 64111-5941
Phone: (816) 931-3312
Fax: (816) 531-9862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2002027389 Missouri

Profile Details

NPI number 1245349075
LBN Legal business name Clark, Alyson L.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Sep 2nd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245349075 NPPES
Kansas MEDICAID 200004760A

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