Mr. Kelly O'brian Clark
R.N., M.S.N., F.N.P. | Nurse Practitioner - Adult Health | 29+ years Exp
1002 S Edgewood Dr, Knox
Indiana, 46534-8226
574-772-6030
Mr. Kelly O'brian Clark is a Knox, Indiana based nurse practitioner with 29 years of experience in Adult Health. He completed his graduation in 1996. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Kelly O'brian Clark is 71000435A for Adult Health in Indiana. His current practice location is 1002 S Edgewood Dr, Knox. Patients can reach him at 574-772-6030 or can fax him at 574-772-7494. Mr. Kelly O'brian Clark is R.N., M.S.N., F.N.P. with specialization in Adult Health and his NPI number (Unique professional ID assigned by NPPES) is 1811086903.
Mr. Kelly O'brian Clark can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. He can see patients and promote healthy living and wellness. He can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Mr. Kelly O'brian 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: | Mr. Kelly O'brian Clark |
| Specialization: | Adult Health Nurse Practitioner (ANP) |
| Gender: | Male |
| Credentials: | R.N., M.S.N., F.N.P. |
| Experience: | 29+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1996 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1002 S Edgewood Dr, Knox,
Indiana, 46534-8226 |
| Phone: | 574-772-6030 |
| Fax: | 574-772-7494 |
Professional Identification Codes:
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.
| PAC ID: | 0143416677 |
| Enrollment ID: | I20101123000995 |
| NPI Number: | 1811086903 |
| NPI Enumeration Date: | 12 Oct, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Kelly O'brian Clark are as mentioned below.
| License Number | Specialization | State | Status | |
| 71000435A | Adult Health | Indiana | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. Kelly O'brian Clark is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Laporte County Comprehensive Mental Health Council (3274703046) | 15 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Kelly O'brian Clark
1002 S Edgewood Dr,
Knox, Indiana |
| Zip: | 46534-8226 |
| Phone Number: | 574-772-6030 |
| Fax Number: | 574-772-7494 |
Patients can reach Mr. Kelly O'brian Clark at
1002 S Edgewood Dr, Knox, Indiana or can
call to book an appointment on 574-772-6030.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.