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TYLER CLARK
NPI 1407308018
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since October 30, 2016
7785 KESWICK PL, SAINT LOUIS, MO 63119(573) 344-7009 Get Directions Write a Review

NPPES record last updated: June 18, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 18, 2018, Oct 30, 2016 (2 updates tracked since 2016).

About Tyler Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER CLARK (NPI 1407308018) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1407308018
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYLER CLARK
Location Address7785 KESWICK PLSaint Louis, MO 63119
Mailing Address1900 Mcnatt Dr Apt 1Brookland, AR 72417-9024 · (573) 344-7009
Phone(573) 344-7009
Sole ProprietorNo
Enumeration DateOctober 30, 2016
Last NPPES UpdateJune 18, 20182 updates tracked since enumeration
✔ NPI 1407308018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
7785 KESWICK PL, Saint Louis, MO 63119
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Clark's NPI number?

The NPI number for Tyler Clark is 1407308018. It was assigned to this individual provider in the NPPES registry on October 30, 2016.

Where is Tyler Clark located?

Tyler Clark practices at 7785 Keswick Pl, Saint Louis, MO 63119. The listed phone number is (573) 344-7009.

What is Tyler Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tyler Clark was last updated on June 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.