Individual
KELLI ANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 HOPE DR, HERSHEY, PA 17033-2036
(717) 531-3828
(717) 531-4694
Mailing address
263 HEMLOCK CT, HERSHEY, PA 17033-3204
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA006130
PA
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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