Clark, Keely

Clark, Keely is an individual health care provider with primary practice located at 1500 Cooper St , Fort Worth TX 76104-2710. She recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as her primary health care specialty. Clark, Keely can be contacted via phone (682) 885-6400.

Contact Information

Primary practice address
1500 Cooper St Fort Worth TX 76104-2710
Phone: (682) 885-6400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 729115 Texas

Profile Details

NPI number 1437717469
LBN Legal business name Clark, Keely
Credentials RNFA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2019
Last updated Jun 4th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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