Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY SUE CLARK, REGISTERED NURSE
ActiveKELLY SUE CLARK, REGISTERED NURSE is a Registered Nurse healthcare provider located in METROPOLIS, Illinois. NPI 1598253361 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · METROPOLIS, IL
Registration Details
- NPI Number
- 1598253361
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 27, 2018 (8.2694309645344 yrs)
- Last Updated
- Apr 27, 2018
- License
-
041405442 (IL)
Practice Information
- Address
-
28 CHICK STMETROPOLIS, IL, 629602467Browse IL providers · Browse ZIP 62960
- Phone
- 6185242176
- Primary Specialty
-
Registered Nurse
163W00000X
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.