Clark, Kelly

Clark, Kelly is an individual health care provider with primary practice located at 125 W Bartlette St Apt. 110, Sumter SC 29150-5173. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Clark, Kelly can be contacted via phone (803) 236-6727.

Contact Information

Primary practice address
125 W Bartlette St Apt. 110 Sumter SC 29150-5173
Phone: (803) 236-6727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PR31930 South Carolina

Profile Details

NPI number 1568883312
LBN Legal business name Clark, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2013
Last updated Dec 20th, 2013 - about 11 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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