Individual provider · Type 1 NPI

Kelly Noelle Clark, FNP

Adult Health Nurse Practitioner · Lone Tree, CO

NPI number 1124567276 Active

Practice location

10240 Park Meadows Dr
Lone Tree, CO 80124-5425

Mailing address

10350 E Dakota Ave
Denver, CO 80247-1314

Other practice locations

  • 2045 N Franklin St, Denver, CO 80205-5437 · (303) 338-4545

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAPN.0992562-NP (CO)
Adult Health Nurse Practitioner Primary 363LA2200XAPN.0992562-NP (CO)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1124567276

Kelly Noelle Clark, FNP's National Provider Identifier is 1124567276, issued on Feb 21, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Lone Tree, CO. The record was last updated on Mar 3, 2022.