Individual
DR. KELSEY MARIE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5970 CHURCHVIEW DR, ROCKFORD, IL 61107-2574
(815) 971-8990
(815) 971-9978
Mailing address
13893 W WILDWOOD LN, HOMER GLEN, IL 60491-8036
(779) 225-2033
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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