What is Kelly Clark's NPI number?

Kelly Clark's National Provider Identifier (NPI) is 1225552748, 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 Registered Dietitian (Dietary & Nutritional Service Providers).

Where is Kelly Clark located?

Kelly Clark's practice location on file with NPPES is 200 Mercy Circle, Camp Pendleton, CA 92055.

What is Kelly Clark's phone number?

The practice phone number listed in the NPPES registry for Kelly Clark is (760) 719-3442.

Is Kelly Clark's NPI active?

Yes — Kelly Clark's NPI (1225552748) is active in the NPPES registry as of the last update on 2017-07-26.

IndividualActive

Kelly Clark, RDN

NPI 1225552748 · Registered Dietitian · Camp Pendleton, CA

Kelly Clark, RDN is a Registered Dietitian provider in Camp Pendleton, CA (NPI 1225552748).

Provider details

NPI number: 1225552748
Entity type: Individual
Primary specialty: Registered DietitianDietary & Nutritional Service Providers
Credential: RDN
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Registered DietitianPrimary133V00000X
Dietary & Nutritional Service Providers

Profile Score

Established profile(63/100 index)

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

Registry tenure38% of score
8 yrs in NPPES registry
Profile completeness38% of score
83% 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

200 Mercy Circle

Camp Pendleton, CA 92055

Phone: (760) 719-3442

Approximate (ZIP-level) locationGet directions

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Mailing address