SearchMichigan225100000X

Kelly Clark, DPT

NPI 1720446891 · on the registry since 2016 · sole proprietor

Practice

Address
36475 5 Mile Rd
Livonia, MI 48154
Phone
(734) 655-2857
Organisation at this address
St Mary Mercy Hospital
St Mary Mercy Hospital
St Mary Mercy Hospital
Epmg Of Michigan, P.C.
St Mary Mercy Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
59

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-04-09

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 Michigan