Individual provider · Type 1 NPI

Kellyann T. Clark, NP

Adult Health Nurse Practitioner · Falls Church, VA

NPI number 1811249378 Active

Practice location

3300 Gallows Rd
Falls Church, VA 22042-3307

Fax (703) 776-2338

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X0024170317 (VA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1811249378

Kellyann T. Clark, NP's National Provider Identifier is 1811249378, issued on Oct 9, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Falls Church, VA. The record was last updated on Jan 27, 2022.