Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Benjamin Clark, ATC

Individual provider Athletic Trainer · NPI 1467167429

Andrew Benjamin Clark, ATC is an Athletic Trainer in Overland Park, Kansas. Licensed in Kansas and Missouri. Registered with an NPI since 2023.

Licensed in
KS, MO
In the registry since
2023
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

10700 Nall Ave
Overland Park, KS 66211-1206
Phone: (912) 574-1908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 24-01693 (KS)
Athletic Trainer Taxonomy 2255A2300X · Licence 2023035873 (MO)

Record details

NPI number1467167429
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJanuary 13, 2023
Last updated in NPPESJanuary 12, 2025
Certification dateJanuary 12, 2025
Mailing address1138 E Main St, Anthony, KS 67003-2706

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