KELLY CLARK
Nurse Practitioner - Family
Active
Individual
NPI: 1164062972
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 2020000768 (MO) |
| Family Medicine | 207Q00000X | No | 2020000768 (MO) |
Frequently Asked Questions
NPI 1164062972 is the National Provider Identifier for KELLY CLARK, a Nurse Practitioner - Family provider located in Bethany, MO. This NPI was enumerated on January 9, 2020.
KELLY CLARK practices at 3202 MILLER ST, Bethany, MO 64424.
Quick Facts
- NPI
- 1164062972
- Type
- Individual
- Enumerated
- Jan 9, 2020
- Last Updated
- Mar 18, 2021
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