KELLY ANNE CLARK PMHNP-BC
NPI 1083450084
Nurse Practitioner - Psychiatric/Mental Health in Maineville, OH

Q: What is Kelly Clark's NPI number?

The NPI number for Kelly Clark is 1083450084. It was assigned to this individual provider in the NPPES registry on July 8, 2024.

Q: What is Kelly Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Clark was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 08, 2024

7916 CARRAWAY CT, MAINEVILLE, OH 45039(513) 505-0588 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Anne Clark Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY ANNE CLARK PMHNP-BC (NPI 1083450084) is an individual psychiatric/mental health provider in Maineville, Ohio, licensed in Ohio (APRN.CNP.0036958) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1083450084

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKELLY ANNE CLARKCredential: PMHNP-BC

Location Address7916 CARRAWAY CTMaineville, OH 45039-8994

Mailing Address7916 Carraway CtMaineville, OH 45039-8994 · (513) 505-0588

Phone(513) 505-0588

Sole ProprietorYes

Enumeration DateJuly 8, 2024

NPPES CertifiedJune 25, 2024

✔ NPI 1083450084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OH · APRN.CNP.0036958

7916 CARRAWAY CT, Maineville, OH 45039

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MKEAC LLC

Nurse Practitioner (Family)

7916 CARRAWAY CT
MAINEVILLE, OH 45039

Warren County (513) 463-5788

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Clark's NPI number?

The NPI number for Kelly Clark is 1083450084. It was assigned to this individual provider in the NPPES registry on July 8, 2024.

Where is Kelly Clark located?

Kelly Clark practices at 7916 Carraway Ct, Maineville, OH 45039. The listed phone number is (513) 505-0588.

What is Kelly Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Kelly Clark accept?

Health plans from MedMutual, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and UnitedHealthcare list Kelly Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Clark was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.