What is Kellie Clark's NPI number?

Kellie Clark's National Provider Identifier (NPI) is 1356962138, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kellie Clark's specialty?

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

Where is Kellie Clark located?

Kellie Clark's practice location on file with NPPES is 734 10th Ave, San Diego, CA 92101-6502.

What is Kellie Clark's phone number?

The practice phone number listed in the NPPES registry for Kellie Clark is (619) 239-4663.

Is Kellie Clark's NPI active?

Yes — Kellie Clark's NPI (1356962138) is active in the NPPES registry as of the last update on 2020-05-02.

IndividualActive

Kellie Clark

NPI 1356962138 · Licensed Vocational Nurse · San Diego, CA

Kellie Clark is a Licensed Vocational Nurse provider in San Diego, CA (NPI 1356962138).

Provider details

NPI number: 1356962138
Entity type: Individual
Primary specialty: Licensed Vocational NurseNursing Service Providers
Sex: Female
Sole proprietor: No
License: 209282 (CA)

Specialties & taxonomies

Licensed Vocational NursePrimary164X00000XLicense 209282 (CA)
Nursing Service Providers

Profile Score

Established profile(64/100 index)

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

Registry tenure38% of score
6 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

734 10th Ave

San Diego, CA 92101-6502

Phone: (619) 239-4663

Street-level locationGet directions

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Mailing address