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

Kelsey Clark

Individual provider Pharmacist · NPI 1972102465

Kelsey Clark is a Pharmacist in Whitewater, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2020
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Practice location Address checks out

1362 W Main St
Whitewater, WI 53190-1504
Phone: (262) 473-7740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 17484 (WI)

Record details

NPI number1972102465
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 26, 2020
Last updated in NPPESOctober 26, 2020
Certification dateOctober 26, 2020

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