Individual
REBECCA CLARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
8889 BOURGADE ST, LENEXA, KS 66219-1403
(913) 914-2663
Mailing address
11917 W 49TH ST, SHAWNEE, KS 66216-1358
(913) 530-2454
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
53-81238-062
KS
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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