Clark-Segovia, Kelley

Clark-Segovia, Kelley is an sole proprietor health care provider with primary practice located at 1900 Sw 20Th Pl , Ocala FL 34471-7870. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Clark-Segovia, Kelley can be contacted via phone (352) 840-5437.

Contact Information

Primary practice address
1900 Sw 20Th Pl Ocala FL 34471-7870
Phone: (352) 840-5437
Fax: (352) 237-1094
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN9217063 Florida

Profile Details

NPI number 1972068732
LBN Legal business name Clark-Segovia, Kelley
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2019
Last updated Apr 1st, 2019 - about 5 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

Identifiers

StateTypeNumberIssuer
All States NPI 1972068732 NPPES
Florida MEDICAID 102036400

Popular Providers