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

Kelly Jeanne Clark, MD

Individual provider Family Medicine Physician · NPI 1487806717

Kelly Jeanne Clark, MD is a Family Practice in Traverse City, Michigan. Qualified in 2007, 19 years ago. Practices with Munson Medical Group, a 189-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
19
Licensed in
MI
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 Medical Campus Dr
Traverse City, MI 49684-7823
Phone: (231) 935-8031
Fax: (231) 935-8099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1105 Sixth St Ste D6, Traverse City, MI 49684-2345 — (231) 935-6380

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301090780 (MI)

Record details

NPI number1487806717
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 17, 2008
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Munson Medical Group — 189 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Traverse City