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

Kylie Clark, PA-C

Individual provider Medical Physician Assistant · NPI 1487421418

Kylie Clark, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Graduated from Temple University School of Medicine in 2023, 3 years ago. Practices with On Demand Urgent Care Group PC, a 98-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
3
Trained at
Temple University School of Medicine
Licensed in
PA
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1500 Spring Garden St Ste R105
Philadelphia, PA 19130-4067
Phone: (484) 844-2388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA065010 (PA)

Record details

NPI number1487421418
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 11, 2023
Last updated in NPPESDecember 11, 2023
Certification dateDecember 9, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice On Demand Urgent Care Group Pc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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