IndividualActive
Clark Eddy, DO
NPI 1962609941 · Family Medicine Physician · Shawnee Mission, KS
Provider details
- NPI number
- 1962609941
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 05-33757 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9100 W 74th St
Shawnee Mission, KS 66204-4004
Phone: (913) 676-2000
Approximate (ZIP-level) locationGet directions
Mailing address
36123 Schoolcraft Rd
Livonia, MI 48150-1216
Registry dates
- Enumerated
- 2007-07-02
- Last updated
- 2018-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.