Clark, Kelly Lynn

Clark, Kelly Lynn is an individual health care provider with primary practice located at 4045 Nw 64Th St Suite 520, Oklahoma City OK 73116-1684. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Clark, Kelly Lynn can be contacted via phone (405) 842-4911.

Contact Information

Primary practice address
4045 Nw 64Th St Suite 520 Oklahoma City OK 73116-1684
Fax: (405) 842-5807
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1124345798
LBN Legal business name Clark, Kelly Lynn
Credentials Bachelor of Social Work (BSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2010
Last updated Apr 22nd, 2010 - about 15 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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