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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY CLARK

Active

KELLY CLARK is a Licensed Practical Nurse healthcare provider located in SUMTER, South Carolina. NPI 1568883312 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · SUMTER, SC

Registration Details

NPI Number
1568883312
Provider Type
Individual
Gender
Female
NPI Issued
Dec 20, 2013 (12.50668029361 yrs)
Last Updated
Dec 20, 2013
License
PR31930 (SC)

Practice Information

Address
125 W BARTLETTE ST
APT. 110
SUMTER, SC, 291505173
Browse SC providers · Browse ZIP 29150
Phone
8032366727
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in SUMTER, SC

Name Credential NPI
MS. SHERRY A. GRAINGER LPN 1578511986
NANCY SHANNON PATERNA LPN 1003033143
TERESA WALLS LPN 1700203460
DENISE BURNS AHTONEN LPN 1326551300
MELBA G. PAYNE 1235785924
MRS. CAROLYN YOUNG-MCCONICO LPN 1013744028
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.