IndividualActive
Clark Bonham, MD
NPI 1528083284 · Transplant Surgery Physician · Kansas City, MO
Provider details
- NPI number
- 1528083284
- Entity type
- Individual
- Primary specialty
- Transplant Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2025013416 (MO)
Practice location
2401 Gillham Rd
Kansas City, MO 64108-4619
Phone: (816) 701-5200
Fax: (816) 302-9939
Mailing address
2401 Gillham Rd
Kansas City, MO 64108-4619
Registry dates
- Enumerated
- 2006-07-13
- Last updated
- 2025-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.