Individual provider · Type 1 NPI

Alyson L. Clark, PA-C

Surgical Physician Assistant · Kansas City, MO

NPI number 1245349075 Active

Practice location

4330 Wornall Rd Ste 50
Kansas City, MO 64111-3201

Fax (816) 531-9862

Mailing address

PO Box 7411931
Chicago, IL 60674-1931

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X2002027389 (MO)

Surgical Physician Assistant: Definition to come...

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About NPI 1245349075

Alyson L. Clark, PA-C's National Provider Identifier is 1245349075, issued on Aug 29, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Kansas City, MO. The record was last updated on Jun 11, 2025.