KELLY PATRICIA CLARK


Address: 55 Pine Dr E, Mason, MI 48854-9229
Phone: 5173946484

KELLY PATRICIA CLARK (NPI# 1013474410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013474410
Entity Type Individual
Full Name KELLY PATRICIA CLARK
Credential LPN
Practice Address 55 Pine Dr E
Mason
MI 48854-9229
Practice Telephone 5173946484
Mailing Telephone 5173946484
Enumeration Date 2019-02-22
Last Update Date 2019-02-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 4703110786 MI Nursing Service Providers

Other Providers KELLY CLARK

NPI Name Taxonomy Address Enumeration
1861026650 Kelly Ann Clark Nurse Practitioner 4590 Childrens Pl, Saint Louis, MO 63110-1020 2020-03-02
1013497304 Kelly Ann Clark Case Manager/Care Coordinator 2498 Wenona Dr, Wixom, MI 48393-2199 2018-08-16
1407336720 Kelly Elizabeth Clark Physical Medicine & Rehabilitation 3800 Reservoir Rd., Bles Building, Ground Floor, Department of Pm&r, Washington, DC 20007-2113 2018-08-16
1356747448 Kelly Clark Dietitian, Registered 46 Mallards Cv, Duxbury, MA 02332-3548 2014-11-17
1568883312 Kelly Clark Licensed Practical Nurse 125 W Bartlette St, Apt. 110, Sumter, SC 29150-5173 2013-12-20
1306105903 Kelly Thomas Clark Speech-Language Pathologist 3406 Fowler Ct, Missouri City, TX 77459-6366 2012-05-16
1619247509 Kelly Jane Clark Pharmacist 328 Quail Walk Trl, Chapin, SC 29036-9791 2012-01-09
1427350461 Kelly Darlene Clark Chiropractor 2425 Mahan Dr, Tallahassee, FL 32308-2301 2010-11-24
1538479324 Kelly S Clark Licensed Vocational Nurse 15716 W High St # 597, Middlefield, OH 44062-9201 2010-10-14
1881715068 Kelly Clark Social Worker 425 Prospect St, Northampton, MA 01060-2046 2007-04-03

Office Location

Street Address 55 PINE DR E
City MASON
State MI
Zip Code 48854-9229

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669919205 Michael Metcalf Behavior Technician 3470 Josephine Lane, Mason, MI 48854 2017-01-20
1891160511 Carol Heckaman Social Worker 818 Charrington Ct., Mason, MI 48854 2015-12-07
1730588765 Katherine Reeber Social Worker 2950 W Howell Rd, Mason, MI 48854 2014-08-14
1417383746 Melissa F Baker Counselor 855 Eaton Drive, Mason, MI 48854 2013-09-18
1881940922 Jennifer K Ogle Social Worker 118 W Oak St Ste 202, Mason, MI 48854 2012-07-26
1326260944 Douglas W Gray Dds Dentist 230 S Temple St, Mason, MI 48854 2007-05-03
1043378185 Timothy Joseph Zielinski Dentist 640 Wash, Mason, MI 48854 2006-12-04
1578635470 Barbara Ann Begian Physician Assistant 790 East Columbia, Care Free Medical Inc, Mason, MI 48854 2006-11-15
1528015336 University Rehabilitation Alliance, Inc. Custodial Care Facility 3181 Sandhill Rd., Mason, MI 48854 2006-05-27
1669428827 Jeffrey Scott Deweerd Family Medicine 710 Temple St, Mason, MI 48854 2006-05-26
Find all providers in zip 48854

Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881243343 Karla Fiscal Licensed Practical Nurse 7644 Hedgewood Cir, Mason, OH 45040-7034 2019-09-08
1861943458 Callie Wheeler Licensed Practical Nurse 4867 Bridge Ln, Apt 5, Mason, OH 45040-6947 2016-10-18
1417401829 Donald Ray Ravenscraft Licensed Practical Nurse 5535 Irwin Simpson Rd, Mason, OH 45040-8107 2016-08-15
1083006662 Melissa Martignetti Licensed Practical Nurse 1350 Jennings Ct, Mason, OH 45040-1116 2015-02-19
1285023903 Lindsay Franklin Licensed Practical Nurse 490 Blue Spruce Ln, Mason, MI 48854-8337 2015-01-19
1710311360 Barbara Jean Bennett Licensed Practical Nurse 4857 Bridge Ln, Apt 1, Mason, OH 45040-6937 2013-08-29
1003254640 Laura Kaye Fields Licensed Practical Nurse 205 Westline Dr, Mason, OH 45040-1540 2013-06-05
1285070110 Jami Michelle Spivey Licensed Practical Nurse 2716 Cadeira Cir, Mason, OH 45040-8001 2013-05-19
1821332909 Amanda Feix Licensed Practical Nurse 4471 English Oak Ct, Mason, OH 45040-2531 2012-11-15
1942518972 Terry Lynn Stephens Licensed Practical Nurse 3927 Elter Ln, Mason, OH 45040-7263 2010-09-24
Find all providers in MASON

Competitor

Search similar providers

City MASON
Zip Code 48854

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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