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

Kali Jo Clark, RN

Individual provider Registered Nurse · NPI 1629330345

Kali Jo Clark, RN is a Registered Nurse in St Paul, Minnesota. Practices as a sole proprietor. Licensed in Montana and Wisconsin.

Licensed in
MT, WI
In the registry since
2012
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

363 Lakewood Ln
St Paul, MN 55110-1608
Phone: (651) 303-8997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 169039-30 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 38828 (MT)

Record details

NPI number1629330345
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedJune 8, 2012
Last updated in NPPESJune 8, 2012
Mailing address363 Lakewood Ln, Saint Paul, MN 55110-1608

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