Individual
ANGELA KAY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 714-9629
Mailing address
102 NE FOREST AVE, LEES SUMMIT, MO 64063-1903
(816) 714-9629
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
128255
MO
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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