Whalio Doctors

NPI 1124345798

Kelly Lynn Clark, BSW

Practitioner Community Health Worker Oklahoma City, OK

Practice location

Address
4045 NW 64th St Suite 520, Oklahoma City, OK 73116-1684
Phone
(405) 842-4911
Fax
(405) 842-5807

Registered specialties

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X

Registry record

NPI
1124345798
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Apr 2010
Record last updated
22 Apr 2010

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.