Kelly Clark
Kelly Clark is a Licensed Practical Nurse in Sumter, South Carolina. Licensed in South Carolina. Registered with an NPI since 2013.
- Licensed in
- SC
- In the registry since
- 2013
Practice location Address checks out
125 W Bartlette St Apt 110Sumter, SC 29150-5173 Not confirmed with CMS for 12 years — call before visiting
Phone: (803) 236-6727
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence PR31930 (SC) |
|---|
Record details
| NPI number | 1568883312 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 20, 2013 |
| Last updated in NPPES | December 20, 2013 |
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-
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