DR. KELLY DARLENE CLARK (NPI# 1427350461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427350461 |
| Entity Type | Individual |
| Full Name | DR. KELLY DARLENE CLARK |
| Credential | DC |
| Practice Address |
2425 Mahan Dr Tallahassee FL 32308-2301 |
| Practice Telephone | 8503868282 |
| Mailing Telephone | 8503868282 |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2020-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH13101 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS STATE | 201397927 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861026650 | Kelly Ann Clark | Nurse Practitioner | 4590 Childrens Pl, Saint Louis, MO 63110-1020 | 2020-03-02 |
| 1013474410 | Kelly Patricia Clark | Licensed Practical Nurse | 55 Pine Dr E, Mason, MI 48854-9229 | 2019-02-22 |
| 1013497304 | Kelly Ann Clark | Case Manager/Care Coordinator | 2498 Wenona Dr, Wixom, MI 48393-2199 | 2018-08-16 |
| 1407336720 | Kelly Elizabeth Clark | Physical Medicine & Rehabilitation | 3800 Reservoir Rd., Bles Building, Ground Floor, Department of Pm&r, Washington, DC 20007-2113 | 2018-08-16 |
| 1356747448 | Kelly Clark | Dietitian, Registered | 46 Mallards Cv, Duxbury, MA 02332-3548 | 2014-11-17 |
| 1568883312 | Kelly Clark | Licensed Practical Nurse | 125 W Bartlette St, Apt. 110, Sumter, SC 29150-5173 | 2013-12-20 |
| 1306105903 | Kelly Thomas Clark | Speech-Language Pathologist | 3406 Fowler Ct, Missouri City, TX 77459-6366 | 2012-05-16 |
| 1619247509 | Kelly Jane Clark | Pharmacist | 328 Quail Walk Trl, Chapin, SC 29036-9791 | 2012-01-09 |
| 1538479324 | Kelly S Clark | Licensed Vocational Nurse | 15716 W High St # 597, Middlefield, OH 44062-9201 | 2010-10-14 |
| 1881715068 | Kelly Clark | Social Worker | 425 Prospect St, Northampton, MA 01060-2046 | 2007-04-03 |
| Street Address |
2425 MAHAN DR |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306316237 | Teegan David Fiedler | Chiropractor | 4004 Norton Ln Ste 102, Tallahassee, FL 32308-5966 | 2018-12-04 |
| 1578077228 | Fred Lloyd Gibson Iv | Chiropractor | 1449 Thomasville Rd, Tallahassee, FL 32303-5609 | 2017-11-16 |
| 1134631492 | Bci Chiropractic LLC | Chiropractor | 3375 Capital Cir Ne Bldg C100, Tallahassee, FL 32308-8700 | 2017-10-26 |
| 1417474685 | Christine Denise Britt | Chiropractor | 6668 Thomasville Rd, Tallahassee, FL 32312-4878 | 2017-08-28 |
| 1376071928 | Bevis Family Chiropractic, P.a. | Chiropractor | 1950 Thomasville Rd Ste E, Tallahassee, FL 32303-5262 | 2017-05-26 |
| 1568904936 | Claude Wade Skinner II | Chiropractor | 3375 Capital Cir Ne Bldg C, Tallahassee, FL 32308-3778 | 2016-11-16 |
| 1528510641 | New Dimensions Chiropractic Center Inc | Chiropractor | 1560 Capital Cir Nw Ste 19, Tallahassee, FL 32303-3181 | 2016-10-25 |
| 1841744182 | Smith Family Chiropractic | Chiropractor | 2447 Mill Creek Ct Ste 1, Tallahassee, FL 32308-8301 | 2016-08-03 |
| 1972056646 | Dr. J. Paul Grant Jr | Chiropractor | 1350 E Call St, Tallahassee, FL 32301-2804 | 2016-07-29 |
| 1679930689 | Andrew James Lewis Jr. | Chiropractor | 1560 Capital Cir Nw, Unit 19, Tallahassee, FL 32303-1312 | 2016-01-21 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on DR. KELLY DARLENE CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.