KELLY S CLARK


Address: 15716 W High St # 597, Middlefield, OH 44062-9201
Phone: 4406328071

KELLY S CLARK (NPI# 1538479324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538479324
Entity Type Individual
Full Name KELLY S CLARK
Credential LPN
Practice Address 15716 W High St # 597
Middlefield
OH 44062-9201
Mailing Address 15716 W High St
P O Box 597
Middlefield
OH 44062-9201
Practice Telephone 4406328071
Mailing Telephone 4406328071
Enumeration Date 2010-10-14
Last Update Date 2010-10-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164X00000X Licensed Vocational Nurse 131431 OH Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
APPLYING FOR NUMBER NOW. 0000 01

Other Providers KELLY CLARK

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
1427350461 Kelly Darlene Clark Chiropractor 2425 Mahan Dr, Tallahassee, FL 32308-2301 2010-11-24
1881715068 Kelly Clark Social Worker 425 Prospect St, Northampton, MA 01060-2046 2007-04-03

Office Location

Street Address 15716 W HIGH ST # 597
City MIDDLEFIELD
State OH
Zip Code 44062-9201

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487260386 Amanda Yoder Homemaker 17245 Madison, Middlefield, OH 44062 2020-09-17
1841537651 Robert David Gavazzi Chiropractor 15914 West High Street, Middlefield, OH 44062 2013-01-14
1124277306 Christine M. Nowak Counselor 15985 East High St., Suite 206, Middlefield, OH 44062 2008-09-12
1184801037 University Hospitals Medical Practices Inc Orthopaedic Surgery 15976 East High Street, Ortho Suite, Middlefield, OH 44062 2008-01-23
1457571366 Pamela Elizabeth Martin Dentist 16022 East High Street, Middlefield, OH 44062 2007-04-26
1366595506 Craig John Farrell Dentist 16022 East High St, Middlefield, OH 44062 2007-01-19
1720181472 Ohio Cvs Stores LLC Pharmacy 15925 West High St, Middlefield, OH 44062 2006-09-07
1295848133 Isadore John Youshak Optometrist 15795 W High St, Middlefield, OH 44062 2006-08-16
1144297342 Health Quest Compounding Pharmacy Inc Pharmacy 14895 N State Ave, Unit D Po, Middlefield, OH 44062 2006-03-07
1235398769 Precision Orthopaedic Specialties Inc Anesthesiology 15976 East High Street, Middlefield, OH 44062 2008-06-09
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Taxonomy Information

Taxonomy Code 164X00000X
Grouping Nursing Service Providers
Classification Licensed Vocational Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538766878 Stephanie Puszak Licensed Vocational Nurse 13730 Rybak Ave, Garfield Heights, OH 44125-5239 2020-10-08
1376186379 Jessica Welch Licensed Vocational Nurse 245 E 208th St, Euclid, OH 44123-1811 2019-10-22
1093376303 Leah Marie Zaletel Licensed Vocational Nurse 96 Brightwood Blvd, Lucas, OH 44843-9578 2019-06-26
1982262291 Raven Diane Hannah Licensed Vocational Nurse 350 South Irwin Rd, Holland, OH 43528 2019-06-01
1083171680 Benjamin Dzreke Licensed Vocational Nurse 4058 Burnell Cir E, Columbus, OH 43224 2019-03-01
1497239156 Mary Charniece Maddox Licensed Vocational Nurse 1073 Thornhill Dr, Cleveland, OH 44108-2316 2018-09-19
1528549466 April Knick Licensed Vocational Nurse 3846 Vance Rd, Moraine, OH 45439-1239 2018-08-28
1851888309 Sarah Swanner Licensed Vocational Nurse 10035 Mulberry Rd, Chardon, OH 44024-9719 2018-04-20
1164929824 Jennifer Nicole Kidd Licensed Vocational Nurse 7094 Huntersmoon Ct, Hamilton, OH 45011 2018-04-10
1154824662 Lashanda Renee Tatum Licensed Vocational Nurse 6269 Stover Ave, Cincinnati, OH 45237-4825 2018-03-10
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Competitor

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City MIDDLEFIELD
Zip Code 44062

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Dataset Information

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.

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