Dr. Kristie M Clark
M.D. | Pediatrics | Female
Dr. Kristie M Clark, M.D. is a Elkhart, Kansas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Kristie M Clark is
445 Hilltop, Elkhart, Kansas - 67950. She can be contacted on phone at
620-697-2141 and fax number 620-741-8203.
Dr. Kristie M Clark is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kristie M Clark is
1558473884 which was assigned by NPPES on 31 Aug, 2006 and it was last updated on 22 Sep, 2022.
Dr. Kristie M Clark license number is
04-34215 for Pediatrics (208000000X) in Kansas.
Dr. Kristie M Clark is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Kristie M Clark basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Kristie M Clark |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Kristie M Clark address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 445 Hilltop
Elkhart, KS, 67950
United States |
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| Phone Number : | 620-697-2141 |
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| Fax Number : | 620-741-8203 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1558473884 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 31 Aug, 2006 |
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| Last Updated On : | 22 Sep, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kristie M Clark are as mentioned. Primary taxonomy code for Dr. Kristie M Clark, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | L6831 | TX |
| 208000000X | Pediatrics | Yes | 04-34215 | KS |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kristie M Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0082EV | Other (non-Medicare) | TX | Blue Cross/Blue Shield |
| 137227810 | MEDICAID | TX | |
| 458811 | MEDICARE OSCAR/Certification | | |
| H92561 | MEDICARE UPIN | | |
| H92561 | MEDICARE UPIN | TX | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 445 Hilltop
Elkhart, KS, 67950
United States |
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| Phone Number : | 620-697-2141 |
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| Fax Number : | 620-741-8203 |
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Business Location:
Patients can refer following map for directions to
Dr. Kristie M Clark practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.