Individual
DR. GLYDENE FAYE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4801 LINWOOD, KANSAS CITY, MO 64128
(816) 922-2641
(816) 922-4452
Mailing address
5179 W.114TH PLACE, LEAWOOD, KS 66211
(816) 861-4700
(816) 922-4652
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R2K78
MO
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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