Search › Texas › 103K00000X
Kelli Clark, RBT
NPI 1023669363 · on the registry since 2019
Practice
- Address
- 1250 S Aw Grimes Blvd
Round Rock, TX 78664 - Phone
- (512) 401-3612
- Fax
- (512) 717-5553
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106S00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas