Keely Clark-Mills, RN
Registered Nurse, Case Management in Brockton, Massachusetts
1497369698- Practice location
- 335 Hillberg Ave, Brockton, MA 02301-6364
- Phone
- 617-820-6848
- Fax
- —
- Last updated
- September 4, 2020
Keely Clark-Mills is a Registered Nurse, Case Management based in Brockton, MA. Keely Clark-Mills practices in Brockton, MA and has the professional credentials of RN. The NPI Number for Keely Clark-Mills is 1497369698 and holds a License No. 2258668 (MA). The current practice location address for Keely Clark-Mills is 335 Hillberg Ave, Brockton, MA 02301-6364 and can be reached out via phone at 617-820-6848.
Provider Profile Details
- NPI Number
- 1497369698
- Provider Name
- Keely Clark-Mills
- Credential
- RN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 335 Hillberg Ave, Brockton, MA 02301-6364
- Phone Number
- 617-820-6848
- Primary Taxonomy
- Registered Nurse, Case Management · 163WC0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 4, 2020
- Last Update Date
- September 4, 2020
- Certification Date
- September 4, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 335 Hillberg Ave
Brockton, MA 02301-6364 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-6364
- Phone Number
- 617-820-6848
Provider Business Mailing Address Details
- Address
- 335 Hillberg Ave
Brockton, MA 02301-6364 - City
- Brockton
- State
- MA
- Zip
- 02301-6364
- Phone Number
- 617-820-6848
License Information
- License Number
- 2258668
- License State
- MA
- Taxonomy
- Registered Nurse, Case Management · 163WC0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Keely Clark-Mills, RN?
The NPI number of Keely Clark-Mills, RN is 1497369698. It was assigned on September 4, 2020 and is currently active in the NPPES registry.
What is the specialty of Keely Clark-Mills, RN?
Keely Clark-Mills, RN is registered under the primary taxonomy Registered Nurse, Case Management (code 163WC0400X), licensed in MA under license number 2258668.
Where does Keely Clark-Mills, RN practice?
The practice location is 335 Hillberg Ave, Brockton, MA 02301-6364. The office can be reached at 617-820-6848 (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 1497369698 directly on the NPPES registry website.