- Practice location
- 127 Palmer St, Calais, ME 04619-1300
- Phone
- 207-454-0775
- Fax
- 207-454-0232
- Last updated
- May 16, 2022
Kelly Clark is a Counselor based in Calais, ME. Kelly Clark practices in Calais, ME. The NPI Number for Kelly Clark is 1871230565. The current practice location address for Kelly Clark is 127 Palmer St, Calais, ME 04619-1300 and can be reached out via phone at 207-454-0775 and via fax at 207-454-0232.
Provider Profile Details
- NPI Number
- 1871230565
- Provider Name
- Kelly Clark
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 127 Palmer St, Calais, ME 04619-1300
- Phone Number
- 207-454-0775
- Fax Number
- 207-454-0232
- Primary Taxonomy
- Counselor · 101Y00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 16, 2022
- Last Update Date
- May 16, 2022
- Certification Date
- May 16, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 127 Palmer St
Calais, ME 04619-1300 - City
- Calais
- State
- Maine
- Zip
- 04619-1300
- Phone Number
- 207-454-0775
- Fax Number
- 207-454-0232
Provider Business Mailing Address Details
- Address
- 180 Academy St Ste 3
Presque Isle, ME 04769-3183 - City
- Presque Isle
- State
- ME
- Zip
- 04769-3183
- Phone Number
- 207-554-2352
- Fax Number
- 207-554-2351
License Information
- Taxonomy
- Counselor · 101Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselors near Calais, ME
View all Counselors in Calais →Frequently Asked Questions
What is the NPI number of Kelly Clark?
The NPI number of Kelly Clark is 1871230565. It was assigned on May 16, 2022 and is currently active in the NPPES registry.
What is the specialty of Kelly Clark?
Kelly Clark is registered under the primary taxonomy Counselor (code 101Y00000X).
Where does Kelly Clark practice?
The practice location is 127 Palmer St, Calais, ME 04619-1300. The office can be reached at 207-454-0775 (phone) or 207-454-0232 (fax).
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 1871230565 directly on the NPPES registry website.