Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ANTOINETTE KELLY-CLARK
ActiveMRS. ANTOINETTE KELLY-CLARK is a Case Manager healthcare provider located in RUSTON, Louisiana. NPI 1417638800 is currently active in the NPPES registry. Verify at CMS.
Case Manager · RUSTON, LA
Registration Details
- NPI Number
- 1417638800
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 27, 2023 (3.0099314770521 yrs)
- Last Updated
- Aug 22, 2024
Practice Information
- Address
-
171 WATER TANK RDRUSTON, LA, 712708550Browse LA providers · Browse ZIP 71270
- Phone
- 3185487242
- Primary Specialty
-
Case Manager
171M00000X
- Additional Specialty
- Case Manager
Other Case Manager Providers in RUSTON, LA
| Name | Credential | NPI |
|---|---|---|
| MR. TERRY LEE JORDAN | LMSW | 1285066886 |
| LYDIA PRUDHOMME | — | 1538539739 |
| JACQUES PRUDHOMME | — | 1295105401 |
| VICKIE MAYFIELD | — | 1275904724 |
| SHERREE JARVIS | — | 1710351630 |
| APRIL RUSSELL | — | 1285099366 |
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.