Individual provider · Type 1 NPI
Kelly Patricia Clark, LPN
Licensed Practical Nurse · Mason, MI
NPI number
1013474410
Active
Practice location
55 Pine Dr E
Mason, MI 48854-9229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 4703110786 (MI) |
Licensed Practical Nurse: 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Other licensed practical nurse providers in Mason
About NPI 1013474410
Kelly Patricia Clark, LPN's National Provider Identifier is 1013474410, issued on Feb 22, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mason, MI. The record was last updated on Feb 22, 2019.