NPI 1023352218

Kapris Benea Clark, BACHELORSOFSCIENCE

Practitioner Community Health Worker Bridgeton, MO

Practice location

Address: 3165 McKelvey Rd Suite 200, Bridgeton, MO 63044-2550
Phone: (314) 206-3900
Fax: (314) 206-3992

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Missouri →

Registry record

NPI: 1023352218
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Nov 2012
Record last updated: 12 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.