Shelby Clark, is a 
Nurse Practitioner - Primary Care physician based in Paducah, Kentucky. Shelby Clark is licensed to practice in Kentucky (license number 4042839) and her current practice location is 225 Medical Center Dr Ste 208b, Paducah, Kentucky. She can be reached at her office (for appointments etc.) via phone at 
(270) 444-2444.
NPI number for Shelby Clark is 1487535563 and her current mailing address is 190 Hogie Ln, Calvert City, Kentucky. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487535563.
			
			
			
			
			
		
		 
Physician's Profile
		
			
			
			| Full Name | Shelby Clark | 
|---|
| Gender | Female | 
|---|
| Speciality | Nurse Practitioner - Primary Care | 
|---|
| Location | 225 Medical Center Dr Ste 208b, Paducah, Kentucky | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1487535563
- Provider Enumeration Date: 09/08/2025
- Last Update Date: 09/08/2025
 
		 
		 
Medical Identifiers
		Medical identifiers for Shelby Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1487535563 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 208200000X | Plastic Surgery | 4042839 (Kentucky) | Secondary | 
| 363LP2300X | Nurse Practitioner - Primary Care | 4042839 (Kentucky) | 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. Shelby 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 | 
|---|
		| Shelby Clark, 190 Hogie Ln,
 Calvert City, KY 42029-8893
 Ph: () -
 | Shelby Clark, 225 Medical Center Dr Ste 208b,
 Paducah, KY 42003-7914
 Ph: (270) 444-2444
 | 
		
		 
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