Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY ANN CLARK
ActiveKELLY ANN CLARK is a Family Nurse Practitioner healthcare provider located in BETHANY, Missouri. NPI 1164062972 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · BETHANY, MO
Registration Details
- NPI Number
- 1164062972
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 9, 2020 (6.4145060898302 yrs)
- Last Updated
- Mar 18, 2021
- Licenses
-
2020000768 (MO)2020000768 (MO)
Practice Information
- Address
-
3202 MILLER STBETHANY, MO, 644242713Browse MO providers · Browse ZIP 64424
- Phone
- 6604253154
- Fax
- 6604256663
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Medicine
Other Family Nurse Practitioner Providers in BETHANY, MO
| Name | Credential | NPI |
|---|---|---|
| AMY B HARRIS | — | 1548385735 |
| MR. CEPHAS PANIAMOGAN | FNP-C | 1053601716 |
| MR. TRAVIS JAMES BROWN | FNP-C | 1306250279 |
| ASHLEY HARDING | — | 1649660812 |
| MADELINE GRACE SCHULTE | APRN | 1952186173 |
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.