Individual
AMBER NICOLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 OLATHE BLVD, MS 2028, KANSAS CITY, KS 66160
(913) 588-6200
Mailing address
3901 RAINBOW BLVD # MS 2028, KANSAS CITY, KS 66160-8500
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
05-79011-102
KS
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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