Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLIE MARIE CLARK, MD
ActiveKELLIE MARIE CLARK, MD is a Family Medicine healthcare provider located in MIDDLEVILLE, Michigan. NPI 1619585403 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MIDDLEVILLE, MI
Registration Details
- NPI Number
- 1619585403
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 17, 2020 (6.0762327485698 yrs)
- Last Updated
- Sep 11, 2024
- License
-
4301511876 (MI)
Practice Information
- Address
-
490 EDWARD STMIDDLEVILLE, MI, 493339131Browse MI providers · Browse ZIP 49333
- Phone
- 2697954434
- Fax
- 2697954271
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in MIDDLEVILLE, MI
| Name | Credential | NPI |
|---|---|---|
| DR. CHRISTOPHER JAMES NOAH | MD | 1518906080 |
| MATTHEW RISK GARBER | MD | 1952412587 |
| DR. LYNDA JEANNE MARGARET SIMPSON | DO | 1407242258 |
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.