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

Mr. Kelly Clark

Individual provider Day Training/Habilitation Specialist · NPI 1912891698

Mr. Kelly Clark is a Day Training/Habilitation Specialist in Keyport, New Jersey. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

245 W Prospect Ave
Keyport, NJ 07735-5030
Phone: (732) 358-3080
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X

Record details

NPI number1912891698
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 5, 2025
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025