Provider Demographics
NPI:1467580233
Name:CLARKE-ARTON, GAY LYNN (MT)
Entity Type:Individual
Prefix:
First Name:GAY
Middle Name:LYNN
Last Name:CLARKE-ARTON
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5906 W 59TH TERR.
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66202-3345
Mailing Address - Country:US
Mailing Address - Phone:913-403-0495
Mailing Address - Fax:816-697-6653
Practice Address - Street 1:5906 W 59TH TERR.
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66202-3345
Practice Address - Country:US
Practice Address - Phone:913-403-0495
Practice Address - Fax:816-697-6653
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS259174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist