Individual provider · Type 1 NPI

Kellie Marie Clark, MD

Family Medicine Physician · Middleville, MI

NPI number 1619585403 Active

Practice location

490 Edward St
Middleville, MI 49333-9131

Fax (269) 795-4271

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X4301511876 (MI)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1619585403

Kellie Marie Clark, MD's National Provider Identifier is 1619585403, issued on Jul 17, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Middleville, MI. The record was last updated on Sep 11, 2024.