person
Dr. Jacob Daniel Clarke, MD
Student in an Organized Health Care Education/Training Program in Wichita, Kansas
NPI 1467926865

Jacob Daniel Clarke is a Student in an Organized Health Care Education/Training Program based in Wichita, KS. Jacob Daniel Clarke practices in Wichita, KS and has the professional credentials of MD. The NPI Number for Jacob Daniel Clarke is 1467926865 and holds a License No. (Kansas).

The current practice location address for Jacob Daniel Clarke is 1717 S Cypress St Apt 1514, Wichita, KS and can be reached out via phone at 316-249-8596.

Location: 1717 S Cypress St Apt 1514, Wichita, KS, 67207-5554
person
Provider Profile Details
NPI Number
1467926865
Provider Name
Jacob Daniel Clarke
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1717 S Cypress St Apt 1514, Wichita, KS, 67207-5554
Phone Number
316-249-8596
Fax Number
Provider Enumeration Date
01/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1717 S Cypress St Apt 1514
City
State
Zip
67207-5554
Phone Number
316-249-8596
Fax Number
person
Provider Business Mailing Address Details
Address
1717 S Cypress St Apt 1514
City
State
Zip
67207-5554
Phone Number
316-249-8596
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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