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Kenyatta Clark
NPI 1922879121 · on the registry since 2024 · sole proprietor
Practice
- Address
- 4502 Fair Ave
Saint Louis, MO 63115 - Phone
- (314) 793-0251
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Sex
- Female
- Record last updated
- 2024-01-16
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