Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY S CLARK, LPN
Active Sole ProprietorKELLY S CLARK, LPN is a Licensed Vocational Nurse healthcare provider located in MIDDLEFIELD, Ohio. NPI 1538479324 is currently active in the NPPES registry. Verify at CMS.
Licensed Vocational Nurse · MIDDLEFIELD, OH
Registration Details
- NPI Number
- 1538479324
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 14, 2010 (15.867205137875 yrs)
- Last Updated
- Oct 14, 2010
- License
-
131431 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15716 W HIGH ST # 597MIDDLEFIELD, OH, 440629201Browse OH providers · Browse ZIP 44062
- Phone
- 4406328071
- Primary Specialty
-
Licensed Vocational Nurse
164X00000X
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.