Kelly S Clark, LPN - Licensed Vocational Nurse in Middlefield, OH

Kelly S Clark, LPN is a Licensed Vocational Nurse based in Middlefield, Ohio. Kelly S Clark is licensed to practice in Ohio (license number 131431) and her current practice location is 15716 W High St # 597, Middlefield, Ohio. She can be reached at her office (for appointments etc.) via phone at (440) 632-8071.

NPI number for Kelly S Clark is 1538479324 and her current mailing address is 15716 W High St, P O Box 597, Middlefield, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538479324.

Contact Information

Kelly S Clark, LPN
15716 W High St # 597,
Middlefield, OH 44062-9201
(440) 632-8071
Not Available



Provider's Profile

Full NameKelly S Clark
GenderFemale
SpecialityLicensed Vocational Nurse
Location15716 W High St # 597, Middlefield, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1538479324
  • Provider Enumeration Date: 10/14/2010
  • Last Update Date: 10/14/2010

Medical Identifiers

Medical identifiers for Kelly S Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538479324NPI-NPPES
0000OtherAPPLYING FOR NUMBER NOW.

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164X00000XLicensed Vocational Nurse 131431 (Ohio)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly S Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly S Clark, LPN
15716 W High St, P O Box 597,
Middlefield, OH 44062-9201

Ph: (440) 632-8071
Kelly S Clark, LPN
15716 W High St # 597,
Middlefield, OH 44062-9201

Ph: (440) 632-8071

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› Verified 3 days ago


Licensed Vocational Nurse Nurses in Middlefield, OH


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