Kelly Ann Clark
Kelly Ann Clark is a Nurse Practitioner in Bethany, Missouri. Qualified in 2019, 7 years ago. Practices with Harrison County Community Hospital District, a 21-clinician group and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 7
- Licensed in
- MO
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
3202 Miller StBethany, MO 64424-2713
Phone: (660) 425-3154
Fax: (660) 425-6663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 2020000768 (MO) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 2020000768 (MO) |
Record details
| NPI number | 1164062972 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 9, 2020 |
| Last updated in NPPES | March 18, 2021 |
| Certification date | March 18, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Harrison County Community Hospital District — 21 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Bethany
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Mr. Travis James Brown, FNP-C
2600 Miller St, Bethany, MO 64424-2701 · (660) 425-2211
-
Ashley Harding
3202 Miller St, Bethany, MO 64424-2713 · (660) 425-3154
-
Amy B Harris
3202 Miller St, Bethany, MO 64424-2713 · (660) 425-3154
-
Ashley Rebecca Huffman, FNP-C
3202 Miller St, Bethany, MO 64424-2713 · (660) 425-3154
-
Mr. Cephas Paniamogan, FNP-C
3202 Miller St, Bethany, MO 64424-2713 · (660) 425-3154