Individual
MADALYN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
APRN
Contact information
Practice address
11729 ROE AVE, LEAWOOD, KS 66211-2605
(785) 424-0198
Mailing address
1025 STONE CREEK DR, LAWRENCE, KS 66049-4777
(785) 424-0198
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-85957-121
KS
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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