Kelly Clark is a Irmo, South Carolina based nurse practitioner. Active license number of Kelly Clark is 25865 in South Carolina. Her current practice location is 11134 Broad River Rd Ste D, Irmo. Patients can reach her at 803-732-0920 and her NPI number (Unique professional ID assigned by NPPES) is 1639840580. Kelly Clark has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kelly Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Kelly Clark
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Practice Address:
11134 Broad River Rd Ste D, Irmo, South Carolina, 29063-7616
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1639840580
NPI Enumeration Date:
21 Sep, 2021
NPI Last Update On:
07 Mar, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Clark are as mentioned below.
License Number
Specialization
State
Status
25865
South Carolina
Primary
Student in an Organized Health Care Education/Training Program
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kelly Clark 11134 Broad River Rd Ste D, Irmo, South Carolina
Zip:
29063-7616
Patients can reach Kelly Clark at 11134 Broad River Rd Ste D, Irmo, South Carolina or can call to book an appointment on 803-732-0920.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.