Individual
RYAN N. CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, ATC/R, CSCS
Contact information
Practice address
1931 BURLINGTON ST, NORTH KANSAS CITY, MO 64116-3407
(816) 241-2131
(816) 241-0551
Mailing address
8804 NE 73RD TER, KANSAS CITY, MO 64158-1088
(816) 781-0270
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2003022245
MO
Other
Enumeration date
07/06/2005
Last updated
07/08/2007
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