National Provider Identifier
Kelley A Clark, PA-C
Kelley A Clark, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 638-8992.
Source: public NPPES record, last updated February 04, 2015. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1194004069
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- August 10, 2011
- Last Updated
- February 04, 2015
Practice Location
- 725 Albany St
- Suite 7C
- Boston, MA 02118-2526
Phone: (617) 638-8992
Mailing Address
- 720 Harrison Ave
- Dob 503
- Boston, MA 02118
Specialties
- Physician Assistant (363A00000X)
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Biography
Kelley A. Clark, PA-C, is a physician assistant at Boston Medical Center in Boston. Public Medicare-derived profiles associate her with Boston University Neurosurgical Associates and list Boston Medical Center as a hospital affiliation, reflecting work in an academic neurosurgery practice setting.
Full Record
- NPI
- 1194004069
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Kelley
- Middle Name
- A
- Credential
- PA-C
- Mailing Street Address
- 720 Harrison Ave
- Mailing Address Line 2
- Dob 503
- Mailing City
- Boston
- Mailing State
- MA
- Mailing ZIP Code
- 02118
- Mailing Country
- US
- Practice Street Address
- 725 Albany St
- Practice Address Line 2
- Suite 7C
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02118-2526
- Practice Country
- US
- Practice Phone
- (617) 638-8992
- Practice Fax
- (617) 638-8979
- Enumeration Date
- August 10, 2011
- Last Updated
- February 04, 2015
- Sex
- Female
- Sole Proprietor
- No
- Taxonomies
- Physician Assistant (363A00000X)