Kellie Marie Clark, MD
Kellie Marie Clark, MD is a Family Practice in Middleville, Michigan. Qualified in 2021, 5 years ago. Practices with Pennock Hospital, a 76-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 5
- Licensed in
- MI
- In the registry since
- 2020
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
490 Edward StMiddleville, MI 49333-9131
Phone: (269) 795-4434
Fax: (269) 795-4271
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 4301511876 (MI) |
|---|
Record details
| NPI number | 1619585403 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 17, 2020 |
| Last updated in NPPES | September 11, 2024 |
| Certification date | September 11, 2024 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Pennock Hospital — 76 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Middleville
-
Matthew Risk Garber, MD
490 Edward St, Middleville, MI 49333-9131 · (269) 795-4434
-
Middleville Doctors, PC
4695 N M 37 Hwy, Middleville, MI 49333-8275 · (269) 795-3315
-
Dr. Christopher James Noah, MD
4525 N M 37 Hwy Ste M, Middleville, MI 49333-8167 · (269) 795-4434
-
Pennock Hospital
490 Edward St, Middleville, MI 49333-9131 · (269) 795-4434