What is Kelly Clark's NPI number?

Kelly Clark's National Provider Identifier (NPI) is 1013474410, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kelly Clark's specialty?

Kelly Clark is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).

Where is Kelly Clark located?

Kelly Clark's practice location on file with NPPES is 55 Pine Dr E, Mason, MI 48854-9229.

What is Kelly Clark's phone number?

The practice phone number listed in the NPPES registry for Kelly Clark is (517) 394-6484.

Is Kelly Clark's NPI active?

Yes — Kelly Clark's NPI (1013474410) is active in the NPPES registry as of the last update on 2019-02-22.

IndividualActive

Kelly Clark, LPN

NPI 1013474410 · Licensed Practical Nurse · Mason, MI

Kelly Clark, LPN is a Licensed Practical Nurse provider in Mason, MI (NPI 1013474410).

Provider details

NPI number: 1013474410
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Credential: LPN
Sex: Female
Sole proprietor: Yes
License: 4703110786 (MI)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense 4703110786 (MI)
Nursing Service Providers

Profile Score

Established profile(66/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
7 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

55 Pine Dr E

Mason, MI 48854-9229

Phone: (517) 394-6484

Street-level locationGet directions

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Mailing address