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

Kelley A Clark, PA-C

Individual provider Physician Assistant · NPI 1194004069

Kelley A Clark, PA-C is a Physician Assistant in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2011.

Licensed in
MA
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

725 Albany St Ste 7C
Boston, MA 02118-2526
Phone: (617) 638-8992
Fax: (617) 638-8979
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA4209 (MA)

Record details

NPI number1194004069
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 10, 2011
Last updated in NPPESFebruary 4, 2015

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