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Kelley Clark, PA-C
NPI 1194004069 · on the registry since 2011
Practice
- Address
- 725 Albany St
Suite 7c
Boston, MA 02118 - Phone
- (617) 638-8992
- Fax
- (617) 638-8979
- Organisation at this address
- Trustees Of Boston University
Boston Medical Center Corporation
Boston Medical Center Corporation
Boston Medical Center Corporation
Boston University Dermatology, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 696
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-02-04
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 Massachusetts