Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY CLARK
ActiveKELLY CLARK is a Nurse Practitioner healthcare provider located in IRMO, South Carolina. NPI 1639840580 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · IRMO, SC
Registration Details
- NPI Number
- 1639840580
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 21, 2021 (4.9193855152506 yrs)
- Last Updated
- Mar 7, 2022
- License
-
25865 (SC)
Practice Information
- Address
-
11134 BROAD RIVER RD STE DIRMO, SC, 290637616Browse SC providers · Browse ZIP 29063
- Phone
- 8037320920
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in IRMO, SC
| Name | Credential | NPI |
|---|---|---|
| MRS. RACHEL STRANGE | APRN | 1114321718 |
| LESLIE KLINE | FNP | 1447128277 |
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.