Individual provider · Type 1 NPI

Kelly Clark, APRN-CNP

Gerontology Nurse Practitioner · Cincinnati, OH

NPI number 1902579238 Active

Practice location

667 Converse Dr
Cincinnati, OH 45240-3619

Call (513) 967-5315 Map

Other practice locations

  • 4400 Easton Cmns Ste 125, Columbus, OH 43219-6223 · (574) 546-1900

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XAPRN-CNP.0029273 (OH)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1902579238

Kelly Clark, APRN-CNP's National Provider Identifier is 1902579238, issued on Aug 2, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Cincinnati, OH. The record was last updated on Aug 17, 2022.