Kelley D. Clark
Gynecologist - Maternal & Fetal Medicine
35 Monument Rd Ste 202
York
, Pennsylvania 17403-5074
Kelley D. Clark
Gynecologist - Maternal & Fetal Medicine
35 Monument Rd Ste 202
York
, Pennsylvania 17403-5074
(717) 851-6969
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About
Features
Specialties
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Kelley D. Clark
- 3421 Concord Rd
- York, PA
- Zip : 17402-9001
- Fax : (717) 851-6969
- Phone : (717) 851-1405
Second Address
- Kelley D. Clark
- 35 Monument Rd Ste 202
- York, PA
- Zip : 17403-5074
- Fax : (717) 851-3127
- Phone : (717) 851-2722
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 0101259164 | VA |
| N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 30720 | KY |
| N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 40584 | TN |
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD431748 | PA |
National Provider Identifier
| NPI | 1073695045 |
|---|---|
| Provider Name | Kelley D. Clark |
| First Address | York, PA 17402-9001 |
| Second Address | York, PA 17403-5074 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2006 |
| Last Update Date | 23/04/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 64307200 | (05) | KY |
| F81357 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.