Clark, Kelly Darlene

Clark, Kelly Darlene is an sole proprietor health care provider with primary practice located at 70 Nw 1St Ave , Lake Butler FL 32054-1611. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Rehabilitation. Chiropractic Providers / Rehabilitation is her primary health care specialty. Clark, Kelly Darlene can be contacted via phone (352) 317-8273.

Contact Information

Primary practice address
70 Nw 1St Ave Lake Butler FL 32054-1611
Phone: (352) 317-8273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH13101 Florida
Chiropractic Providers / Rehabilitation 111NR0400X CH13101 Florida

Profile Details

NPI number 1427350461
LBN Legal business name Clark, Kelly Darlene
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2010
Last updated Jun 18th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427350461 NPPES
Texas Other 201397927 TEXAS STATE

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