Clark, Kelly J

Clark, Kelly J is an individual health care provider with primary practice located at 111 North St , Rapid City SD 57701-1163. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Clark, Kelly J can be contacted via phone (605) 343-0650.

Contact Information

Primary practice address
111 North St Rapid City SD 57701-1163
Phone: (605) 343-0650
Fax: (605) 342-7293
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1326776048
LBN Legal business name Clark, Kelly J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2022
Last updated Aug 10th, 2022 - about 3 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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