Individual
KELLEY D. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
35 MONUMENT RD STE 202, YORK, PA 17403-5074
(717) 851-2722
(717) 851-3127
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
0101259164
VA
207VM0101X
Maternal & Fetal Medicine Physician
30720
KY
207VM0101X
Maternal & Fetal Medicine Physician
40584
TN
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD431748
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64307200
—
KY
Enumeration date
10/19/2006
Last updated
04/23/2020
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