Individual
EMILY MITCHELL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9301 W 74TH ST STE 325, SHAWNEE MISSION, KS 66204-2281
(913) 384-4990
Mailing address
9301 W 74TH ST STE 325, SHAWNEE MISSION, KS 66204-2281
(913) 384-4990
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
04-43470
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
MO
Other
Enumeration date
06/15/2016
Last updated
10/13/2020
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