Clark, Kelly Rae

Clark, Kelly Rae is an individual health care provider with primary practice located at 130 W Kingsbridge Rd , Bronx NY 10468-3904. She recently has only one registered license in Pharmacy Service Providers / Psychiatric, which is considered as her primary health care specialty. Clark, Kelly Rae can be contacted via phone (718) 584-9000.

Contact Information

Primary practice address
130 W Kingsbridge Rd Bronx NY 10468-3904
Phone: (718) 584-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Psychiatric 1835P1300X 41224 Texas

Profile Details

NPI number 1003071150
LBN Legal business name Clark, Kelly Rae
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2008
Last updated Jul 28th, 2008 - about 16 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.

Request for update

Popular Providers