KELLY ANN CLARK

NPI: 1164062972 · Individual · Active

Primary Specialty

Family Nurse Practitioner
Nurse Practitioner — Family

Practice Location

3202 MILLER ST
BETHANY, MO 64424-2713 Map ↗
Phone: 660-425-3154
Fax: 660-425-6663

All Specialties & Licenses

  • Family Nurse Practitioner Primary — Family (license: 2020000768, MO)
  • Family Medicine Physician (license: 2020000768, MO)

NPI Registration

Enumerated: 2020-01-09

Last CMS Update: 2021-03-18