MR. Kelly O'brian Clark, R.N., M.S.N., F.N.P.

NPI #1811086903 in Knox, Indiana

Provider Information

NPI Number
1811086903
Entity Type
Individual
Name
MR. Kelly O'brian Clark, R.N., M.S.N., F.N.P.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Adult Health
Credential
R.N., M.S.N., F.N.P.
Enumeration Date
Oct 12, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1002 S EDGEWOOD DR
City
Knox
State
Indiana
ZIP Code
46534-8226
Phone
(574) 772-6030

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Adult HealthAdult Health

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