Individual
KELLY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11134 BROAD RIVER RD STE D, IRMO, SC 29063-7616
(803) 732-0920
Mailing address
11134 BROAD RIVER RD STE D, IRMO, SC 29063-7616
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
25865
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/21/2021
Last updated
03/07/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us