Individual
MRS. KERRY LEANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
814 WALNUT ST, CHETOPA, KS 67336-8990
(620) 236-7248
Mailing address
1217 S 15TH ST, PARSONS, KS 67357-5125
(620) 421-2431
(620) 423-0158
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01713
KS
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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