Kelly Clark
NPI 1639840580 · Nurse Practitioner · Irmo, SC
Kelly Clark is a Nurse Practitioner provider in Irmo, SC (NPI 1639840580).
Provider details
- NPI number
- 1639840580
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
4 yrs in NPPES registry
- Profile completeness33% of score
83% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$51 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-09-21
- Last updated
- 2022-03-07
- Certified
- 2022-03-07
Frequently asked questions
- What is Kelly Clark's NPI number?
- Kelly Clark's National Provider Identifier (NPI) is 1639840580, 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 Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Clark located?
- Kelly Clark's practice location on file with NPPES is 11134 Broad River Rd Ste D, Irmo, SC 29063-7616.
- What is Kelly Clark's phone number?
- The practice phone number listed in the NPPES registry for Kelly Clark is (803) 732-0920.
- Is Kelly Clark's NPI active?
- Yes — Kelly Clark's NPI (1639840580) is active in the NPPES registry as of the last update on 2022-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.