Individual
SARA E CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2790 CLAY EDWARDS DR STE 520B, NORTH KANSAS CITY, MO 64116-3276
(816) 691-5198
(816) 346-7095
Mailing address
6931 NW AVALON ST, KANSAS CITY, MO 64152-2910
(217) 853-4191
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-02310
KS
363A00000X
Physician Assistant
Primary
2019041162
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-02310
LICENSE
KS
Enumeration date
04/03/2020
Last updated
10/29/2025
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