SearchIllinois183500000X

Kelly Clark, RPH

NPI 1780703520 · on the registry since 2007

Practice

Address
1802 S Mattis Ave
Champaign, IL 61821
Phone
(217) 326-1399
Organisation at this address
Carle Clinic Association, Pc
The Care Foundation Hospital
Carle Health Care Incorporated
Inferred from a shared address, not stated in the registry.
Clinicians at this address
74

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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 Illinois