DR. KELLY LYNN CLARK (NPI# 1659752806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659752806 |
| Entity Type | Individual |
| Full Name | DR. KELLY LYNN CLARK |
| Credential | PHARM D |
| Practice Address |
7805 E 35th Ave Denver CO 80238-2458 |
| Practice Telephone | 7209417146 |
| Practice Fax Number | 7209418046 |
| Mailing Telephone | 7209417146 |
| Mailing Fax Number | 7209418046 |
| Enumeration Date | 2015-06-13 |
| Last Update Date | 2019-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 19526 | CO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861026650 | Kelly Ann Clark | Nurse Practitioner | 4590 Childrens Pl, Saint Louis, MO 63110-1020 | 2020-03-02 |
| 1013474410 | Kelly Patricia Clark | Licensed Practical Nurse | 55 Pine Dr E, Mason, MI 48854-9229 | 2019-02-22 |
| 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 |
| Street Address |
7805 E 35TH AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80238-2458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346267622 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 7805 E 35th Ave, Denver, CO 80238-2458 | 2006-07-16 |
| 1154983591 | Shaneika Dawn Seibold | Pharmacist | 7805 E 35th Ave, Denver, CO 80238-2458 | 2019-07-06 |
| 1396820239 | Sam's Club Optical | Technician/Technologist | 7805 E 35th Ave, Denver, CO 80238-2458 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651621 | Kuumba Therapy, LLC | Community/Behavioral Health | 2376 Central Park Blvd, Ste 100, Denver, CO 80238 | 2020-08-26 |
| 1831687755 | Daffer Ghanim | Student in an Organized Health Care Education/Training Program | 3055 Roslyn Street, Suite #100, Denver, CO 80238 | 2018-04-26 |
| 1164932612 | East Stapleton Dentistry, LLP | Dentist | 10355 E Martin Luther King Jr Blvd Suite 110, Denver, CO 80238 | 2017-10-10 |
| 1245760131 | Ellen Macdonald | Dentist | 8354 E Northfield Blvd Unit 2750, Denver, CO 80238 | 2017-06-14 |
| 1346797867 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 10406 Martin Luther King Blvd, Denver, CO 80238 | 2016-09-01 |
| 1619341997 | Northfield Family Dental | Clinic/Center | 8361 E. Northfield Blvd, Denver, CO 80238 | 2015-11-24 |
| 1922476092 | Deborah Bellesheim | Registered Nurse | 2836 Akron St, Denver, CO 80238 | 2015-09-08 |
| 1235544826 | Andrew Benson | Optometrist | 5489 N Xenia St, Denver, CO 80238 | 2014-06-23 |
| 1861817249 | Caleb Rodgers | Chiropractor | 7505 E 35th Ave Unit 302, Denver, CO 80238 | 2014-02-21 |
| 1124307095 | Ambrosia C Shepard | Counselor | 8354 E Northfield Blvd, Denver, CO 80238 | 2011-08-10 |
| Find all providers in zip 80238 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188221 | Valerie Madison | Pharmacist | 6138 E Yale Ave, Denver, CO 80222-7063 | 2020-09-10 |
| 1518576990 | Roya P Hossaini | Pharmacist | 2215 E 25th Ave, Denver, CO 80205-5704 | 2020-07-30 |
| 1508483884 | Kimberly Becker | Pharmacist | 3425 Tejon St, Denver, CO 80211-3434 | 2020-07-02 |
| 1699396481 | Henry Anthony Caster Jr. | Pharmacist | 1615 Platte St, Denver, CO 80202-1581 | 2020-05-03 |
| 1699312538 | Andrew E Essington | Pharmacist | 4674 Ireland St, Denver, CO 80249-7324 | 2019-12-10 |
| 1598327785 | Emily Megan Fox | Pharmacist | 6869 Riverwalk Loop Apt 13, Denver, NC 28037-5031 | 2019-07-08 |
| 1295296317 | Jennifer J Cho | Pharmacist | 2535 S Downing St Ste G10, Denver, CO 80210-5853 | 2019-03-29 |
| 1407342199 | Tom D Karlin | Pharmacist | 501 W 44th Ave Unit A, Denver, CO 80216-2611 | 2018-07-05 |
| 1679091797 | Tara Tolbert | Pharmacist | 1890 Wynkoop St Apt 604, Denver, CO 80202-1155 | 2017-09-08 |
| 1801317433 | Thomas Sayre | Pharmacist | 1055 Clermont St Bldg C, Denver, CO 80220-3808 | 2017-07-05 |
| Find all providers in DENVER | ||||
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| 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.