KELLY CLARK

Family Nurse Practitioner

NPI: 1164062972IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

2020000768(MO)

Family Medicine Physician

Family Medicine

Code: 207Q00000X

2020000768(MO)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2019

Contact & Hours

Address: 3202 MILLER ST
BETHANY, MO 64424
Phone: (660) 425-3154

Quick Facts

NPI: 1164062972
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 7

Are you this provider?

Claim Your Profile