Kelly Ann Clark

NPI #1164062972 in Bethany, Missouri

Provider Information

NPI Number
1164062972
Entity Type
Individual
Name
Kelly Ann Clark
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jan 9, 2020
Last Updated
Mar 18, 2021

Practice Location

Address
3202 MILLER ST
ZIP Code
64424-2713
Phone
(660) 425-3154

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily
Family Medicine

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