Clark, Kelli Anne

Clark, Kelli Anne is an sole proprietor health care provider with primary practice located at 27259 Nona Ave , Highland CA 92346-2525. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Clark, Kelli Anne can be contacted via phone (909) 633-2647.

Contact Information

Primary practice address
27259 Nona Ave Highland CA 92346-2525
Phone: (909) 633-2647
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95018043 California

Profile Details

NPI number 1750070918
LBN Legal business name Clark, Kelli Anne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2023
Last updated May 3rd, 2023 - about last year

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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