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

Kelly Patricia Clark, LPN

Individual provider Licensed Practical Nurse · NPI 1013474410

Kelly Patricia Clark, LPN is a Licensed Practical Nurse in Mason, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2019
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

55 Pine Dr E
Mason, MI 48854-9229
Phone: (517) 394-6484
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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 4703110786 (MI)

Record details

NPI number1013474410
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedFebruary 22, 2019
Last updated in NPPESFebruary 22, 2019

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