Individual provider · Type 1 NPI
Desirae Clark
Prosthetic/Orthotic Supplier · Kansas City, MO
Practice location
5100 Lydia Ave
Kansas City, MO 64110-2608
Mailing address
PO Box 300564
Kansas City, MO 64130-0564
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Other prosthetic/orthotic supplier providers in Kansas City
About NPI 1477100717
Desirae Clark's National Provider Identifier is 1477100717, issued on Aug 21, 2019. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Kansas City, MO. The record was last updated on Aug 21, 2019.