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

Keyondra Clark, BSNRN

Individual provider In Home Supportive Care Agency · NPI 1053145581

Keyondra Clark, BSNRN is an In Home Supportive Care Agency in Cordele, Georgia. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

411 W 24th Ave
Cordele, GA 31015-3941
Phone: (229) 699-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X

Record details

NPI number1053145581
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSNRN
Sole proprietorYes
NPI enumeratedAugust 28, 2024
Last updated in NPPESAugust 28, 2024
Certification dateAugust 27, 2024
Mailing address102 Carson Dr, Cordele, GA 31015-6776

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