Individual Healthcare Provider
Kristie M Clark, M.D.
Provider's NPPES record last updated: July 1, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1558473884
- Primary Specialty
- Pediatrics
- Practice Location
- Junction City, Kansas
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 2:07 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Pediatrics
Allopathic & Osteopathic Physicians
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Taxonomy code 208000000X
Provider-Reported License Information
- Pediatrics (Kansas)
- 04-34215
- Pediatrics (Colorado)
- DR.0076393
- Pediatrics (Texas)
- L6831
Practice Locations
Practice Location
715 Southwind Dr
Junction City, Kansas 66441-9021
Phone: (785) 209-3779
Additional Practice Location
3905 Vanesta Dr
Manhattan, Kansas 66503-2001
Phone: (785) 775-1867
Fax: (785) 775-1700
Additional Practice Location
705 1st Ave Ste A
Dodge City, Kansas 67801-4437
Phone: (620) 471-3140
Fax: (620) 471-3141
Additional Practice Location
842 N Main St
Lansing, Kansas 66043-1305
Phone: (913) 250-5155
Fax: (913) 250-5515
Additional Practice Location
6510 S Academy Blvd Ste 110
Colorado Springs, Colorado 80906-8691
Phone: (719) 698-7933
Fax: (719) 698-7929
Record Information
- Enumeration Date
- August 31, 2006
- Provider's NPPES Record Last Updated
- July 1, 2026
- Certification Date
- July 1, 2026
- NPISignal NPPES Dataset
- August 2026
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