Individual
MRS. JULIE E CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2800 CLAY EDWARDS DR, NORTH KANSAS CITY, MO 64116-3220
(816) 691-1765
(816) 471-1247
Mailing address
1900 SWIFT AVE, SUITE 203, NORTH KANSAS CITY, MO 64116-3445
(816) 221-5050
(816) 471-1247
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
110806
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
110806
MO
Other
Enumeration date
07/13/2006
Last updated
03/21/2025
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