Kelly Clark
NPI #1568883312 in Sumter, South Carolina
Provider Information
- NPI Number
- 1568883312
- Entity Type
- Individual
- Name
- Kelly Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Dec 20, 2013
- Last Updated
- Dec 20, 2013
Practice Location
- Address
- 125 W BARTLETTE ST
- Address 2
- APT. 110
- City
- Sumter
- State
- South Carolina
- ZIP Code
- 29150-5173
- Phone
- (803) 236-6727
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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