Individual
DR. CLARK ANDREW BONHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
04-51288
KS
204F00000X
Transplant Surgery Physician
Primary
2025013416
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C507500
—
CA
Enumeration date
07/13/2006
Last updated
11/25/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us