Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY JEANNE CLARK, MD
Active Sole ProprietorKELLY JEANNE CLARK, MD is a Family Medicine healthcare provider located in TRAVERSE CITY, Michigan. NPI 1487806717 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · TRAVERSE CITY, MI
Registration Details
- NPI Number
- 1487806717
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 17, 2008 (17.821062599728 yrs)
- Last Updated
- Feb 10, 2026
- License
-
4301090780 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1400 MEDICAL CAMPUS DRTRAVERSE CITY, MI, 496847823Browse MI providers · Browse ZIP 49684
- Phone
- 2319358031
- Fax
- 2319358099
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in TRAVERSE CITY, MI
| Name | Credential | NPI |
|---|---|---|
| DR. ANN K KUENKER | D.O. | 1609870104 |
| DR. PETER W SPRINGSTEEN | M.D. | 1265438790 |
| DR. THOMAS C NUSSDORFER | M.D. | 1134124662 |
| DR. JAN J VLACH | M.D. | 1962408393 |
| DAVID J WILCOX | DO | 1073512539 |
| SALLY MILLER | DO | 1588663041 |
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.