Individual
MARIE KAYE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8340 MISSION RD STE B, PRAIRIE VILLAGE, KS 66206-1355
(913) 213-3531
Mailing address
7900 REEDS RD, PRAIRIE VILLAGE, KS 66208-4965
(913) 530-0483
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-03575
KS
225XP0200X
Pediatric Occupational Therapist
17-03575
KS
Other
Enumeration date
04/28/2016
Last updated
12/27/2022
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