Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DESIRAE CLARK
Active Sole ProprietorDESIRAE CLARK is a Prosthetic/Orthotic Supplier healthcare provider located in KANSAS CITY, Missouri. NPI 1477100717 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · KANSAS CITY, MO
Registration Details
- NPI Number
- 1477100717
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 21, 2019 (6.7948474917412 yrs)
- Last Updated
- Aug 21, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
5100 LYDIA AVEKANSAS CITY, MO, 641102608Browse MO providers · Browse ZIP 64110
- Phone
- 8267499147
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
Other Prosthetic/Orthotic Supplier Providers in KANSAS CITY, MO
| Name | Credential | NPI |
|---|---|---|
| VERNICE LYNN JOHNSON | COSMETOLOGIST | 1952760860 |
| MISS ADRIAN CAMPBELL | — | 1730772708 |
| DARIA MICHELLE LUGO | — | 1124816988 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.