Search › South Carolina › 164W00000X
Kelly Clark
NPI 1568883312 · on the registry since 2013
Practice
- Address
- 125 W Bartlette St
Apt. 110
Sumter, SC 29150 - Phone
- (803) 236-6727
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-12-20
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 South Carolina