KELLY J CLARK
NPI 1326776048
Case Manager/Care Coordinator in Rapid City, SD

Q: What is Kelly Clark's NPI number?

The NPI number for Kelly Clark is 1326776048. It was assigned to this individual provider in the NPPES registry on August 10, 2022.

Q: What is Kelly Clark's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Clark was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 10, 2022

111 NORTH ST, RAPID CITY, SD 57701(605) 343-0650(605) 342-7293 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly J Clark NPPES

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

KELLY J CLARK (NPI 1326776048) is an individual case manager/care coordinator provider in Rapid City, South Dakota and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1326776048

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameKELLY J CLARK

Location Address111 NORTH STRapid City, SD 57701-1163

Mailing Address350 Elk StRapid City, SD 57701-7351 · (605) 343-0650

Phone(605) 343-0650

Fax(605) 342-7293

Sole ProprietorNo

Enumeration DateAugust 10, 2022

NPPES CertifiedAugust 10, 2022

✔ NPI 1326776048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

111 NORTH ST, Rapid City, SD 57701

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Other Providers at the Same Location NPPES 20

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

MICHELLE PRICHARD

Case Manager/Care Coordinator