Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEYONDRA CLARK, BSN RN
Active Sole ProprietorKEYONDRA CLARK, BSN RN is a In Home Supportive Care Agency healthcare provider located in CORDELE, Georgia. NPI 1053145581 is currently active in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · CORDELE, GA
Registration Details
- NPI Number
- 1053145581
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2024 (1.9230781680095 yrs)
- Last Updated
- Aug 28, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
411 W 24TH AVECORDELE, GA, 310153941Browse GA providers · Browse ZIP 31015
- Phone
- 2296992020
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.