Kellie Clark
Kellie Clark is a Licensed Vocational Nurse in San Diego, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
734 10th AveSan Diego, CA 92101-6502
Phone: (619) 239-4663
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Specialties & licences
| Licensed Vocational Nurse (primary) | Taxonomy 164X00000X · Licence 209282 (CA) |
|---|
Record details
| NPI number | 1356962138 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 2, 2020 |
| Last updated in NPPES | May 2, 2020 |
| Certification date | May 2, 2020 |
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