Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KELLY CLARK
ActiveMR. KELLY CLARK is a Day Training/Habilitation healthcare provider located in KEYPORT, New Jersey. NPI 1912891698 is currently active in the NPPES registry. Verify at CMS.
Day Training/Habilitation · KEYPORT, NJ
Registration Details
- NPI Number
- 1912891698
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2025 (1.2176714221855 yrs)
- Last Updated
- Jun 5, 2025
Practice Information
- Address
-
245 W PROSPECT AVEKEYPORT, NJ, 077355030Browse NJ providers · Browse ZIP 07735
- Phone
- 7323583080
- Primary Specialty
-
Day Training/Habilitation
373H00000X
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.