Individual provider · Type 1 NPI

Kandi Clark, LVN

Licensed Vocational Nurse · Ceres, CA

NPI number 1740170836 Active

Practice location

1904 Richland Ave
Ceres, CA 95307-4562

Mailing address

550 Curry Ave
Modesto, CA 95354-1942

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X741730 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1740170836

Kandi Clark, LVN's National Provider Identifier is 1740170836, issued on Jul 8, 2025. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Ceres, CA. The record was last updated on Jul 8, 2025.