Active NPIIndividual providerSole proprietor

Kelly Clark, MS, RD

Dietitian, Registered in Duxbury, Massachusetts

NPI Number1356747448
Practice location
46 Mallards Cv, Duxbury, MA 02332-3548
Fax
—
Last updated
November 17, 2014

Kelly Clark is a Dietitian, Registered based in Duxbury, MA. Kelly Clark practices in Duxbury, MA and has the professional credentials of MS, RD. The NPI Number for Kelly Clark is 1356747448. The current practice location address for Kelly Clark is 46 Mallards Cv, Duxbury, MA 02332-3548 and can be reached out via phone at 781-775-5994.

Provider Profile Details

NPI Number
1356747448
Provider Name
Kelly Clark
Credential
MS, RD
Provider Entity Type
Individual
Gender
Female
Address
46 Mallards Cv, Duxbury, MA 02332-3548
Phone Number
781-775-5994
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 17, 2014
Last Update Date
November 17, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
46 Mallards Cv
Duxbury, MA 02332-3548
Zip
02332-3548
Phone Number
781-775-5994
Duxbury, MA 02332Get directions →

Provider Business Mailing Address Details

Address
46 Mallards Cv
Duxbury, MA 02332-3548
City
Duxbury
State
MA
Zip
02332-3548
Phone Number
781-775-5994

License Information

Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelly Clark, MS, RD?

The NPI number of Kelly Clark, MS, RD is 1356747448. It was assigned on November 17, 2014 and is currently active in the NPPES registry.

What is the specialty of Kelly Clark, MS, RD?

Kelly Clark, MS, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Kelly Clark, MS, RD practice?

The practice location is 46 Mallards Cv, Duxbury, MA 02332-3548. The office can be reached at 781-775-5994 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356747448 directly on the NPPES registry website.

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