IndividualActive
Kelly Clinton, PAC
NPI 1669428876 · Physician Assistant · Plano, TX
Provider details
- NPI number
- 1669428876
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- License
- PA04635 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
4001 W 15th St
Suite 225
Plano, TX 75093-5841
Phone: (972) 599-2559
Fax: (972) 599-1226
Street-level locationGet directions
Mailing address
5445 Caruth Haven Ln
Dallas, TX 75225-8143
Registry dates
- Enumerated
- 2006-05-26
- Last updated
- 2012-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.