Individual
MR. JAMES E CLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1525 MADISON ST, SUITE 3, FREDONIA, KS 66736-1703
(620) 378-3700
(620) 378-3536
Mailing address
1525 MADISON ST, SUITE 3, FREDONIA, KS 66736-1703
(620) 378-3700
(620) 378-3536
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-16904
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098540A
—
KS
01
—
178544
MEDICARE
—
Enumeration date
11/03/2005
Last updated
07/31/2013
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