Individual
CHANDLER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3241
(816) 932-2000
Mailing address
5835 MISSION RD, FAIRWAY, KS 66205-3167
(913) 226-0342
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
0024185283
VA
363LN0000X
Neonatal Nurse Practitioner
Primary
2024036070
MO
Other
Enumeration date
01/16/2023
Last updated
02/04/2025
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