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Kellie Clark
Licensed Vocational Nurse in San Diego, California
NPI 1356962138

Kellie Clark is a Licensed Vocational Nurse based in San Diego, CA. Kellie Clark practices in San Diego, CA. The NPI Number for Kellie Clark is 1356962138 and holds a License No. 209282 (California).

The current practice location address for Kellie Clark is 734 10Th Ave, San Diego, CA and can be reached out via phone at 619-239-4663.

Location: 734 10Th Ave, San Diego, CA, 92101-6502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356962138
Provider Name
Kellie Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
734 10Th Ave, San Diego, CA, 92101-6502
Phone Number
619-239-4663
Fax Number
Provider Enumeration Date
05/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
734 10Th Ave
City
San Diego
State
California
Zip
92101-6502
Phone Number
619-239-4663
Fax Number
person
Provider Business Mailing Address Details
Address
734 10Th Ave
City
San Diego
State
California
Zip
92101-6502
Phone Number
619-239-4663
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
209282 (California)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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