Individual
EVELYN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1600 N LORRAINE ST STE 202, HUTCHINSON, KS 67501-5600
(620) 663-7595
(620) 663-5263
Mailing address
1600 N LORRAINE ST STE 202, HUTCHINSON, KS 67501-5600
(620) 663-7595
(620) 663-5263
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
11398
KS
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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