Active NPIIndividual provider

Kaelen Clark

Nurse Practitioner in Wellesley, Massachusetts

NPI Number1780375741
Practice location
386 Washington St Ste 2, Wellesley, MA 02481-6218
Fax
—
Last updated
June 9, 2024

Kaelen Clark is a Nurse Practitioner based in Wellesley, MA. Kaelen Clark practices in Wellesley, MA. The NPI Number for Kaelen Clark is 1780375741 and holds a License No. RN2358296 (MA). The current practice location address for Kaelen Clark is 386 Washington St Ste 2, Wellesley, MA 02481-6218 and can be reached out via phone at 617-326-3232.

Provider Profile Details

NPI Number
1780375741
Provider Name
Kaelen Clark
Provider Entity Type
Individual
Gender
Female
Address
386 Washington St Ste 2, Wellesley, MA 02481-6218
Phone Number
617-326-3232
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
May 18, 2023
Last Update Date
June 9, 2024
Certification Date
June 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
386 Washington St Ste 2
Wellesley, MA 02481-6218
Zip
02481-6218
Phone Number
617-326-3232
Wellesley, MA 02481Get directions →

Provider Business Mailing Address Details

Address
23 Bridge St Apt 206
Quincy, MA 02169-2021
City
Quincy
State
MA
Zip
02169-2021

License Information

License Number (1)
RN2358296
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN2358296
License State (2)
MA
Taxonomy (2)
Nurse Practitioner · 363L00000X · 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 Kaelen Clark?

The NPI number of Kaelen Clark is 1780375741. It was assigned on May 18, 2023 and is currently active in the NPPES registry.

What is the specialty of Kaelen Clark?

Kaelen Clark is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number RN2358296.

Where does Kaelen Clark practice?

The practice location is 386 Washington St Ste 2, Wellesley, MA 02481-6218. The office can be reached at 617-326-3232 (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 1780375741 directly on the NPPES registry website.

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