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

Kelly Clark, APRN-CNP

Individual provider Gerontology Nurse Practitioner · NPI 1902579238

Kelly Clark, APRN-CNP is a Nurse Practitioner in Cincinnati, Ohio. Qualified in 2021, 5 years ago. Practices with Eon Care Services LLC, a 21-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

667 Converse Dr
Cincinnati, OH 45240-3619
Phone: (513) 967-5315
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 4400 Easton Cmns Ste 125, Columbus, OH 43219-6223 — (574) 546-1900

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN-CNP.0029273 (OH)

Record details

NPI number1902579238
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedAugust 2, 2021
Last updated in NPPESAugust 17, 2022
Certification dateAugust 17, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Eon Care Services Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cincinnati