Clark, Kelley A

Clark, Kelley A is an individual health care provider with primary practice located at 725 Albany St Suite 7C, Boston MA 02118-2526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Clark, Kelley A can be contacted via phone (617) 638-8992.

Contact Information

Primary practice address
725 Albany St Suite 7C Boston MA 02118-2526
Phone: (617) 638-8992
Fax: (617) 638-8979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA4209 Massachusetts

Profile Details

NPI number 1194004069
LBN Legal business name Clark, Kelley A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2011
Last updated Feb 4th, 2015 - about 11 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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