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Overview of Kelly Clark Dds Pc
- NPI number: 1558967950
- Provider type: Organization
- Active since: 05/19/2009
- Last updated: 05/19/2009
Primary Scrop of Practice
- Taxonomy Code: 1223G0001X
- Specialty: General Practice
- License Number: 060009717
- License State: IL
Provider Mailing Address
- Address: 3737 Us Rt 36 EDecatur, IL 62521
- Phone: 217-423-2400
- Fax:
Provider Practice Location
- Address: 3737 Us Rt 36 EDecatur, IL 62521
- Phone: 217-423-2400
- Fax:
Authorized Official
- Name: Kelly Clark
- Position/Title: Owner/president
- Telephone Number: 217-423-2400
Scope of Practice
- Taxonomy Code: 1223G0001X
- Specialty: General Practice
- License Number: 060009717
- License State: IL
- Switch: Yes
Legacy Identifiers
- Provider Identifier: 1073693883
- Identifier Type: Other
- Identifier State: IL
- Issuer: BLUE CROSS
Question & Answers
- Q: What is the npi number?
- A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
- Q: What are health care provider taxonomy codes?
- A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
- Q: What is the npi number for Kelly Clark Dds Pc?
- A: The npi number for Kelly Clark Dds Pc is 1982839056.
- Q: What are Kelly Clark Dds Pc's specialties?
- A: Kelly Clark Dds Pc's specialties are General Practice and different specialities.
- Q: Where is Kelly Clark Dds Pc business practice location?
- A: Kelly Clark Dds Pc business practice location is 3737 Us Rt 36 E, Decatur, IL 62521.
- Q: How to contact Kelly Clark Dds Pc?
- A: You can contact Kelly Clark Dds Pc via 217-423-2400.
- Q: What is the authorized official for Kelly Clark Dds Pc?
- A: The authorized office name is Kelly Clark with position/title is Owner/president and you can reach the authorized official via phone number 2174232400.