Search › Missouri › Prosthetic/Orthotic Supplier
Desirae Clark
NPI 1477100717 · on the registry since 2019 · sole proprietor
Practice
- Address
- 5100 Lydia Ave
Kansas City, MO 64110 - Phone
- (826) 749-9147
Registry record
- Primary taxonomy
- Prosthetic/Orthotic Supplier
335E00000X
- Sex
- Female
- Record last updated
- 2019-08-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri