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NPI Code Detail

MEDICARE: AMY LOU CLARKSON M.D.

MEDICARE:   AMY LOU CLARKSON  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician2007006874MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1B35F522BOTHERKSMEDICARE
2B35F557OTHERMOMEDICARE

General Provider Information

NPI Number : 1174665392
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY LOU CLARKSON M.D.
Provider Business Mailing Address
First Line : 9221 WARD PKWY STE 100
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-3332
Country : US
Telephone Number : 816-363-2600
Fax Number :
Provider Business Practice Location Address
First Line : 9221 WARD PKWY STE 100
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-3332
Country : US
Telephone Number : 816-363-2600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2007
Last Update Date : 01/29/2009

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Directions to “ AMY LOU CLARKSON M.D.” Practice Location

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