NPI 1114651643
Shelby Clark
Practice location
- Address
- 2401 W I 44 Service Rd, Oklahoma City, OK 73112-8713
- Phone
- (405) 336-1665
- Mailing address
- 6913 Eagles Lndg, Oklahoma City, OK 73135-1916
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1114651643
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Jul 2022
- Record last updated
- 16 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.