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

Kelly J Clark

Individual provider Case Manager/Care Coordinator · NPI 1326776048

Kelly J Clark is a Case Manager/Care Coordinator in Rapid City, South Dakota. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

111 N St
Rapid City, SD 57701-1163
Phone: (605) 343-0650
Fax: (605) 342-7293
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1326776048
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 10, 2022
Last updated in NPPESAugust 10, 2022
Certification dateAugust 10, 2022
Mailing address350 Elk St, Rapid City, SD 57701-7351

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