Individual
RYAN PATRICK CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 KENT AVE, WEST LAFAYETTE, IN 47906-1184
(866) 672-4764
Mailing address
3000 KENT AVE, WEST LAFAYETTE, IN 47906-1184
(866) 672-4764
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
IN
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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