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Contact Information

KELLY S CLARK, LPN
15716 W HIGH ST # 597
MIDDLEFIELD, OH44062-9201
 Phone: 440-632-8071
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Vocational Nurse

164X00000X
Indicates primary specialty

NPI Profile & details for KELLY S CLARK · (Female)

NPI Number 1538479324
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 10/14/2010
Last updated 10/14/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 131431
  • Other 0000 APPLYING FOR NUMBER NOW.
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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