Dennis Erin Clark, in Edgerton, KS - Registered Nurse

Dennis Erin Clark, is a Registered Nurse based in Edgerton, Kansas. Dennis Erin Clark is licensed to practice in Kansas (license number 13-86682-081) and his current practice location is 112 W Mcdonald St, Edgerton, Kansas. He can be reached at his office (for appointments etc.) via phone at (913) 882-9704.

NPI number for Dennis Erin Clark is 1851629422 and his current mailing address is 112 W Mcdonald St, Edgerton, Kansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851629422.

Contact Information

	Dennis Erin Clark,
	112 W Mcdonald St, Edgerton, KS 66021-2430
	(913) 882-9704
	Not Available

Provider's Profile

Full Name	Dennis Erin Clark
Gender	Male
Speciality	Registered Nurse
Location	112 W Mcdonald St, Edgerton, Kansas
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1851629422
Provider Enumeration Date: 11/19/2009
Last Update Date: 11/19/2009

Medical Identifiers

Medical identifiers for Dennis Erin Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851629422	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	13-86682-081 (Kansas)	Primary
163W00000X	Registered Nurse	2009001167 (Missouri)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dennis Erin Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dennis Erin Clark, 112 W Mcdonald St, Edgerton, KS 66021-2430 Ph: () -	Dennis Erin Clark, 112 W Mcdonald St, Edgerton, KS 66021-2430 Ph: (913) 882-9704

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Dennis Erin Clark, - Registered Nurse in Edgerton, KS