Individual provider · Type 1 NPI

Kelly Lynne Clark, PA-C

Physician Assistant · Lexington, KY

NPI number 1215418397 Active

Practice location

1207 S Broadway
Lexington, KY 40504-2701

Call (859) 258-8261 Map

Mailing address

1221 S Broadway
Lexington, KY 40504-2701

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA3377 (KY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1215418397

Kelly Lynne Clark, PA-C's National Provider Identifier is 1215418397, issued on Aug 27, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lexington, KY. The record was last updated on Feb 13, 2026.