Clark, Kelly S

Clark, Kelly S is an sole proprietor health care provider with primary practice located at 15716 W High St # 597 , Middlefield OH 44062-9201. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Clark, Kelly S can be contacted via phone (440) 632-8071.

Contact Information

Primary practice address
15716 W High St # 597 Middlefield OH 44062-9201
Phone: (440) 632-8071
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 131431 Ohio

Profile Details

NPI number 1538479324
LBN Legal business name Clark, Kelly S
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2010
Last updated Oct 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538479324 NPPES
Other 0000 APPLYING FOR NUMBER NOW.

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