Individual provider · Type 1 NPI

Kali Jo Clark, RN

Registered Nurse · St. Paul, MN

NPI number 1629330345 Active

Practice location

363 Lakewood Lane
St. Paul, MN 55110-1608

Call (651) 303-8997 Map

Mailing address

363 Lakewood Ln
St. Paul, MN 55110-1608

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	169039-30 (WI)
Registered Nurse	163W00000X	38828 (MT)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1629330345

Kali Jo Clark, RN's National Provider Identifier is 1629330345, issued on Jun 8, 2012. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in St. Paul, MN. The record was last updated on Jun 8, 2012.