Individual provider · Type 1 NPI

Brady Clark

Student in an Organized Health Care Education/Training Program · Kansas City, MO

NPI number 1003379769 Active

Practice location

1750 Independence Ave
Kansas City, MO 64106-1453

Mailing address

W2390 County Road I
Markesan, WI 53946-7502

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003379769

Brady Clark's National Provider Identifier is 1003379769, issued on Apr 10, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kansas City, MO. The record was last updated on May 16, 2024.