Individual provider · Type 1 NPI

Jacob Daniel Clarke, MD

Student in an Organized Health Care Education/Training Program · Wichita, KS

NPI number 1467926865 Active

Practice location

1717 S Cypress St Apt 1514
Wichita, KS 67207-5554

Call (316) 249-8596 Map

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 1467926865

Jacob Daniel Clarke, MD's National Provider Identifier is 1467926865, issued on Jan 18, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wichita, KS. The record was last updated on Jan 18, 2019.