Clark, Kelley D.

Clark, Kelley D. is an individual health care provider with primary practice located at 35 Monument Rd Ste 202 , York PA 17403-5074. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Clark, Kelley D. can be contacted via phone (717) 851-2722.

Contact Information

Primary practice address
35 Monument Rd Ste 202 York PA 17403-5074
Phone: (717) 851-2722
Fax: (717) 851-3127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 40584 Tennessee
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 0101259164 Virginia
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 30720 Kentucky
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X MD431748 Pennsylvania

Profile Details

NPI number 1073695045
LBN Legal business name Clark, Kelley D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Apr 23rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073695045 NPPES
Kentucky MEDICAID 64307200

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