Active NPIIndividual provider

Dr. Kelsey N Clark, DO

Emergency Medicine in Hackettstown, New Jersey

NPI Number1962080390
Practice location
651 Willow Grove St, Hackettstown, NJ 07840-1799
Fax
—
Last updated
August 17, 2024

Kelsey Nicole Clark is an Emergency Medicine based in Hackettstown, NJ. Kelsey Nicole Clark practices in Hackettstown, NJ and has the professional credentials of DO. The NPI Number for Kelsey Nicole Clark is 1962080390 and holds a License No. 25MB12242400 (NJ). The current practice location address for Kelsey Nicole Clark is 651 Willow Grove St, Hackettstown, NJ 07840-1799 and can be reached out via phone at 908-852-5100.

Provider Profile Details

NPI Number
1962080390
Provider Name
Kelsey Nicole Clark
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
651 Willow Grove St, Hackettstown, NJ 07840-1799
Phone Number
908-852-5100
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Provider Enumeration Date
March 29, 2021
Last Update Date
August 17, 2024
Certification Date
August 17, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
651 Willow Grove St
Hackettstown, NJ 07840-1799
Zip
07840-1799
Phone Number
908-852-5100
Hackettstown, NJ 07840Get directions →

Provider Business Mailing Address Details

Address
3 Century Dr
Parsippany, NJ 07054-4610
City
Parsippany
State
NJ
Zip
07054-4610

License Information

License Number
25MB12242400
License State
NJ
Taxonomy
Emergency Medicine · 207P00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Emergency Medicine providers near Hackettstown, NJ

View all Emergency Medicine providers in Hackettstown →

Frequently Asked Questions

What is the NPI number of Dr. Kelsey N Clark, DO?

The NPI number of Dr. Kelsey N Clark, DO is 1962080390. It was assigned on March 29, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Kelsey N Clark, DO?

Dr. Kelsey N Clark, DO is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in NJ under license number 25MB12242400.

Where does Dr. Kelsey N Clark, DO practice?

The practice location is 651 Willow Grove St, Hackettstown, NJ 07840-1799. The office can be reached at 908-852-5100 (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 1962080390 directly on the NPPES registry website.

Browse related providers