IndividualActive
Kelli Clarke
NPI 1902749302 · Pediatric Registered Nurse · Salt Lake City, UT
Provider details
- NPI number
- 1902749302
- Entity type
- Individual
- Primary specialty
- Pediatric Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 11129491-3102 (UT)
Specialties & taxonomies
Nursing Service Providers
Practice location
1111 E Brickyard Rd Apt 530
Salt Lake City, UT 84106-4443
Phone: (801) 662-1000
Approximate (ZIP-level) locationGet directions
Mailing address
1111 E Brickyard Rd Apt 530
Salt Lake City, UT 84106-4443
Registry dates
- Enumerated
- 2026-04-10
- Last updated
- 2026-04-10
- Certified
- 2026-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.