| Kelly Clark, | |
|
125 W Bartlette St, Apt. 110, Sumter, SC 29150-5173 | |
| (803) 236-6727 | |
| Not Available |
| Full Name | Kelly Clark |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 125 W Bartlette St, Sumter, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568883312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PR31930 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Clark, 125 W Bartlette St, Apt. 110, Sumter, SC 29150-5173 Ph: () - | Kelly Clark, 125 W Bartlette St, Apt. 110, Sumter, SC 29150-5173 Ph: (803) 236-6727 |
Nancy Shannon Paterna, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2200 Lloyd Dr, Sumter, SC 29154 Phone: 803-481-5054 | |
Melba G. Payne, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4171 Champagne Ln, Sumter, SC 29153 Phone: 803-469-4641 | |
Denise Burns Ahtonen, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 485 Pioneer Dr, Sumter, SC 29150 Phone: 803-607-8703 | |
Ms. Sherry A. Grainger, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 215 N. Magnolia St., Swcmhc,, Sumter, SC 29151 Phone: 803-775-9364 Fax: 803-773-6615 | |
Teresa Walls, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 105 N Magnolia St, Sumter Co Health Dept, Sumter, SC 29150 Phone: 803-934-2809 |