IndividualActive
Kelly Clark
NPI 1912891698 · Day Training/Habilitation Specialist · Keyport, NJ
Provider details
- NPI number
- 1912891698
- Entity type
- Individual
- Primary specialty
- Day Training/Habilitation SpecialistNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
245 W Prospect Ave
Keyport, NJ 07735-5030
Phone: (732) 358-3080
Approximate (ZIP-level) locationGet directions
Mailing address
245 W Prospect Ave
Keyport, NJ 07735-5030
Registry dates
- Enumerated
- 2025-06-05
- Last updated
- 2025-06-05
- Certified
- 2025-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.