Clark, Kelly Noelle
Clark, Kelly Noelle is an individual health care provider with primary practice located at 10240 Park Meadows Dr , Lone Tree CO 80124-5425. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Clark, Kelly Noelle can be contacted via phone (303) 338-4545.Contact Information
Primary practice address
10240 Park Meadows Dr
Lone Tree CO 80124-5425
Phone: (303) 338-4545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN.0992562-NP | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | APN.0992562-NP | Colorado |
Profile Details
| NPI number | 1124567276 |
|---|---|
| LBN Legal business name | Clark, Kelly Noelle |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2017 |
| Last updated | Mar 3rd, 2022 - about 4 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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