Clark, Kelly

Clark, Kelly is an individual health care provider with primary practice located at 667 Converse Dr , Cincinnati OH 45240-3619. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Clark, Kelly can be contacted via phone (513) 967-5315.

Contact Information

Primary practice address
667 Converse Dr Cincinnati OH 45240-3619
Phone: (513) 967-5315
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN-CNP.0029273 Ohio

Profile Details

NPI number 1902579238
LBN Legal business name Clark, Kelly
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2021
Last updated Aug 17th, 2022 - about 3 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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