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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073695045 | NPPES |
Kentucky | MEDICAID | 64307200 |
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