Individual
BRADY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1750 INDEPENDENCE AVE, KANSAS CITY, MO 64106-1453
(816) 654-7000
Mailing address
W2390 COUNTY ROAD I, MARKESAN, WI 53946-7502
(920) 295-2552
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
05/16/2024
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