KYLE CLARK

Community Health Worker

Active Individual
NPI: 1053683078

Practice Address

196 ARROWHEAD DR STE 6
Evanston, WY 82930

Phone: (307) 789-4224

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X Yes -

Frequently Asked Questions

NPI 1053683078 is the National Provider Identifier for KYLE CLARK, a Community Health Worker provider located in Evanston, WY. This NPI was enumerated on February 7, 2012.
KYLE CLARK practices at 196 ARROWHEAD DR STE 6, Evanston, WY 82930.

Quick Facts

NPI
1053683078
Type
Individual
Enumerated
Feb 7, 2012
Last Updated
Feb 7, 2012

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