Kelly S Clark, LPN
NPI #1538479324 in Middlefield, Ohio
Provider Information
- NPI Number
- 1538479324
- Entity Type
- Individual
- Name
- Kelly S Clark, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Vocational Nurse
- Credential
- LPN
- Enumeration Date
- Oct 14, 2010
- Last Updated
- Oct 14, 2010
Practice Location
- Address
- 15716 W HIGH ST # 597
- City
- Middlefield
- State
- Ohio
- ZIP Code
- 44062-9201
- Phone
- (440) 632-8071
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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