NPI 1568883312

Kelly Clark

Practitioner Licensed Practical Nurse Sumter, SC

Practice location

Address: 125 W Bartlette St APT. 110, Sumter, SC 29150-5173
Phone: (803) 236-6727

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence PR31930 (SC)

Other Licensed Practical Nurse providers in South Carolina →

Registry record

NPI: 1568883312
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Dec 2013
Record last updated: 20 Dec 2013

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.