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Contact Information

DENNIS E CLARK
112 W MCDONALD ST
EDGERTON, KS66021-2430
 Phone: 913-882-9704
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for DENNIS E CLARK · (Male)

NPI # 1851629422
Status Active
Credentials
Entity Individual
Enumeration date 11/19/2009
Last updated 11/19/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 13-86682-081
  • MO License # 2009001167
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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