Individual
KRISTA M CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2791 N WASHINGTON ST, HEDRICK FAMILY CARE, CHILLICOTHE, MO 64601-2902
(660) 646-2682
(660) 214-8611
Mailing address
2791 N WASHINGTON ST, HEDRICK FAMILY CARE, CHILLICOTHE, MO 64601-2902
(660) 646-2682
(660) 214-8611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2013021426
MO
Other
Enumeration date
04/05/2010
Last updated
06/19/2025
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