MRS. KENDRA MARIE CLARK (NPI# 1821284787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821284787 |
| Entity Type | Individual |
| Full Name | MRS. KENDRA MARIE CLARK |
| Other Name | MRS. KENDRA MARIE CLARK |
| Credential | PA-C |
| Practice Address |
7782 E Fledgling Dr Scottsdale AZ 85255-7716 |
| Practice Telephone | 4806840498 |
| Mailing Telephone | 4806840498 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2015-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4574 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831738087 | Kendra Nicole Clark | Dentist | 3880 Hulen St Ste 310, Fort Worth, TX 76107-7274 | 2020-01-04 |
| 1831661958 | Kendra Clark | Case Manager/Care Coordinator | 455 E Main St, East Dundee, IL 60118-1529 | 2018-12-31 |
| 1942590005 | Kendra E. Clark | Case Manager/Care Coordinator | 2600 E 18th St, Cheyenne, WY 82001-5511 | 2011-04-11 |
| 1457491870 | Kendra M Clark | Dietitian, Registered | 501 S Union Ave, Food and Nutrition Department, Havre De Grace, MD 21078-3409 | 2007-02-07 |
| Street Address |
7782 E FLEDGLING DR |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85255-7716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417427865 | Inpatient Health LLC | Internal Medicine | 17470 Pacesetter Way, Scottsdale, AZ 85255 | 2018-11-28 |
| 1003391764 | Daniel Andrew Wool | Family Medicine | 20801 N Scottsdale Rd Suite 205, Scottsdale, AZ 85255 | 2018-09-28 |
| 1225533953 | Nona Lynel Dasenbrock | Dietitian, Registered | 10912 E Butherus Dr, Scottsdale, AZ 85255 | 2018-03-26 |
| 1376044248 | Brandon A Hunter | Physician Assistant | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2018-02-26 |
| 1235644048 | Harmony Dental Partners, LLC | Dentist | 21809 N. Scottsdale Rd., Suite C105, Scottsdale, AZ 85255 | 2017-12-04 |
| 1093226698 | Brenda Renee Junior | Family Medicine | 7920 E Thompson Peak Pkwy Ste 100, Scottsdale, AZ 85255 | 2017-10-23 |
| 1740790393 | Sanus Dme LLC | Durable Medical Equipment & Medical Supplies | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2017-10-10 |
| 1235651894 | Jill Walker | Physical Therapist | 7900 E. Princess, Apt. 1063, Scottsdale, AZ 85255 | 2017-07-14 |
| 1780123000 | Mcdowell Smile Life Dentistry LLC | Dentist | 10401 E. Mcdowell Mountain Ranch Rd Ste 130, Scottsdale, AZ 85255 | 2017-02-20 |
| 1942691779 | Gregory Edin | Dentist | 11550 E Paradise Lane, Scottsdale, AZ 85255 | 2015-02-16 |
| Find all providers in zip 85255 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010298 | Katherine Ann Dulin | Physician Assistant | 6633 E Greenway Pkwy Apt 2045, Scottsdale, AZ 85254-2036 | 2020-07-22 |
| 1184242141 | Ashley Barnhill | Physician Assistant | 4848 N Goldwater Blvd Unit 3027, Scottsdale, AZ 85251-1050 | 2020-07-07 |
| 1801413653 | Alexandra Caitlin Mull | Physician Assistant | 2929 N 70th St Apt 2050, Scottsdale, AZ 85251-6351 | 2020-06-28 |
| 1730715582 | Alexandra Rene Thomas | Physician Assistant | 4383 N Parkway Ave Apt 506, Scottsdale, AZ 85251-4025 | 2020-03-12 |
| 1336782390 | Zaid Sidi | Physician Assistant | 8419 E Quarterhorse Trl, Scottsdale, AZ 85258-1365 | 2019-10-22 |
| 1013578327 | Kelley Ann Stapleton | Physician Assistant | 5231 E Poinsettia Dr, Scottsdale, AZ 85254-4702 | 2019-06-26 |
| 1629638093 | Melissa Jean Bere | Physician Assistant | 8896 E Becker Ln Ste 104, Scottsdale, AZ 85260-6281 | 2019-06-18 |
| 1619534682 | Caitlin Nicole Slaughter | Physician Assistant | 10125 E Bloomfield Rd, Scottsdale, AZ 85260-5159 | 2019-05-24 |
| 1215590138 | Kaylee Newsome | Physician Assistant | 9813 E Mirasol Cir, Scottsdale, AZ 85260-2191 | 2019-04-16 |
| 1639641566 | Richele Leann Smart | Physician Assistant | 9060 E Via Linda Ste 250, Scottsdale, AZ 85258-5425 | 2018-12-17 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85255 |
Please comment or provide details below to improve the information on MRS. KENDRA MARIE CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.