Kelly Clark
Kelly Clark is a Student in an Organized Health Care Education/Training Program in Irmo, South Carolina. Licensed in South Carolina. Registered with an NPI since 2021.
- Licensed in
- SC
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
Irmo, SCNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 25865 (SC) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1639840580 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 21, 2021 |
| Last updated in NPPES | March 7, 2022 |
| Certification date | March 7, 2022 |
Other providers in Irmo
-
Miss. Mackenzie Anderson
Student / training record Irmo, SC
-
Lindsay Walton Blount, MD
Student / training record Irmo, SC
-
Samantha Alice Santos
Student / training record Irmo, SC
-
Dreher Shuler
Student / training record Irmo, SC