Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KELLY O'BRIAN CLARK, R.N., M.S.N., F.N.P.
ActiveMR. KELLY O'BRIAN CLARK, R.N., M.S.N., F.N.P. is a Adult Health Nurse Practitioner healthcare provider located in KNOX, Indiana. NPI 1811086903 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · KNOX, IN
Registration Details
- NPI Number
- 1811086903
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2006 (19.884751942705 yrs)
- Last Updated
- Jul 8, 2007
- License
-
71000435A (IN)
Practice Information
- Address
-
1002 S EDGEWOOD DRKNOX, IN, 465348226Browse IN providers · Browse ZIP 46534
- Phone
- 5747726030
- Fax
- 5747727494
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
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.