MR. Kelly Clark
NPI #1912891698 in Keyport, New Jersey
Provider Information
- NPI Number
- 1912891698
- Entity Type
- Individual
- Name
- MR. Kelly Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Day Training/Habilitation Specialist
- Enumeration Date
- Jun 5, 2025
- Last Updated
- Jun 5, 2025
Practice Location
- Address
- 245 W PROSPECT AVE
- City
- Keyport
- State
- New Jersey
- ZIP Code
- 07735-5030
- Phone
- (732) 358-3080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training/Habilitation Specialist |
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