Individual
DR. KRISTIE M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
715 SOUTHWIND DR, JUNCTION CITY, KS 66441-9021
(785) 209-3779
(785) 209-3780
Mailing address
715 SOUTHWIND DR, JUNCTION CITY, KS 66441-9021
(785) 209-3779
(785) 209-3780
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-34215
KS
208000000X
Pediatrics Physician
DR.0076393
CO
208000000X
Pediatrics Physician
L6831
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004570650001
—
KS
Enumeration date
08/31/2006
Last updated
02/04/2026
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