Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angel Clark-Kennedy

Individual provider Licensed Practical Nurse · NPI 1619822251

Angel Clark-Kennedy is a Licensed Practical Nurse in Port Wentworth, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2026

Practice location Address checks out

302 Rice Hope Plantation Rd
Port Wentworth, GA 31407-9653
Phone: (912) 996-0107
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LPN399317 (GA)

Record details

NPI number1619822251
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 27, 2026
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026

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