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Kelly Clark, R.N., M.S.N., F.N.P
NPI 1811086903 · on the registry since 2006
Practice
- Address
- 1002 S Edgewood Dr
Knox, IN 46534 - Phone
- (574) 772-6030
- Fax
- (574) 772-7494
- Organisation at this address
- Kwchc Pharmacy
Knox Winamac Community Health Centers Inc
Knox Winamac Community Health Centers, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Adult Health Nurse Practitioner
363LA2200X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- 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 Indiana