Physician Assistant
KATHRYN CLARK PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1912610163 · enumerated 2023-01-03 · record updated 2025-06-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 4043 SEQUOIA DR, EDWARDSVILLE, IL, 62025-7711 (636) 222-2282 Google Maps Apple Maps OpenStreetMap
- Practice location 9556 MANCHESTER RD, SAINT LOUIS, MO, 63119-1313 (314) 373-5740 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License 085.010325 IL
- Physician Assistant 363A00000X · Primary · License 2024007412 MO
In this directory
Locations and evidence
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Practice location
SAINT LOUIS, MO, 631191313
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.