Individual
KELSEY LEIGH-ANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
12461 AL HIGHWAY 157, MOULTON, AL 35650-1063
(256) 444-6210
(256) 444-6211
Mailing address
12461 AL HIGHWAY 157, MOULTON, AL 35650-1063
(256) 444-6210
(256) 444-6211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-150045
AL
Other
Enumeration date
10/09/2020
Last updated
06/24/2025
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