Organization
VICTORY CLINIC LLC
Active
Organization
VICTORY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE M CLARK MD (OWNER)
(719) 698-7933
Entity
Organization
Contact information
Practice address
715 SOUTHWIND DR, JUNCTION CITY, KS 66441-9021
(785) 209-3779
(785) 209-3780
Mailing address
715 SOUTHWIND DR, JUNCTION CITY, KS 66441-9021
(785) 209-3779
(785) 209-3780
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
01/09/2026
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