Kelly Clark is a Licensed Practical Nurse based in Sumter, SC. Kelly Clark practices in Sumter, SC. The NPI Number for Kelly Clark is 1568883312 and holds a License No. PR31930 (South Carolina).
The current practice location address for Kelly Clark is 125 W Bartlette St, Sumter, SC and can be reached out via phone at 803-236-6727.
Location: 125 W Bartlette St, Sumter, SC, 29150-5173
Provider Profile Details
NPI Number
1568883312
Provider Name
Kelly Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
125 W Bartlette St, Sumter, SC, 29150-5173
Phone Number
803-236-6727
Fax Number
Provider Enumeration Date
12/20/2013
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
125 W Bartlette St
City
State
Zip
29150-5173
Phone Number
803-236-6727
Fax Number
Provider Business Mailing Address Details
Address
125 W Bartlette St
City
State
Zip
29150-5173
Phone Number
803-236-6727
Fax Number
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
PR31930 (South Carolina)
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. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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