Individual provider · Type 1 NPI

Keely Clark-Mills, RN

Case Management Registered Nurse · Brockton, MA

NPI number 1497369698 Active

Practice location

335 Hillberg Ave
Brockton, MA 02301-6364

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400X2258668 (MA)

Case Management Registered Nurse: Definition to come...

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About NPI 1497369698

Keely Clark-Mills, RN's National Provider Identifier is 1497369698, issued on Sep 4, 2020. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Brockton, MA. The record was last updated on Sep 4, 2020.