Kaylen Clark, is a
Dietitian, Registered based in Dania, Florida. Kaylen Clark is licensed to practice in Florida (license number 14618) and her current practice location is
709 Sw 2nd Ter, Dania, Florida. She can be reached at her office (for appointments etc.) via phone at
(954) 821-2940.
NPI number for Kaylen Clark is 1720948979 and her current mailing address is 709 Sw 2nd Ter, Dania, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720948979.
Healthcare Provider's Profile
| Full Name | Kaylen Clark |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 709 Sw 2nd Ter, Dania, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720948979
- Provider Enumeration Date: 11/12/2025
- Last Update Date: 11/12/2025
Medical Identifiers
Medical identifiers for Kaylen Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1720948979 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 14618 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kaylen Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kaylen Clark, 709 Sw 2nd Ter, Dania, FL 33004-3511 Ph: Not Available | Kaylen Clark, 709 Sw 2nd Ter, Dania, FL 33004-3511 Ph: (954) 821-2940 |
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