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KEYONA R CLARK
NPI 1386238111
Technician - Personal Care Attendant in Grand Rapids, MI

Active since February 23, 2021
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506(616) 940-0040 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keyona R Clark NPPES

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

KEYONA R CLARK (NPI 1386238111) is an individual personal care attendant in Grand Rapids, Michigan and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1386238111
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameKEYONA R CLARK
Location Address1490 E BELTLINE AVE SEGrand Rapids, MI 49506-4336
Mailing Address1490 E Beltline Ave SeGrand Rapids, MI 49506-4336
Phone(616) 940-0040
Sole ProprietorNo
Enumeration DateFebruary 23, 2021
NPPES CertifiedFebruary 23, 2021
✔ NPI 1386238111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
1490 E BELTLINE AVE SE, Grand Rapids, MI 49506
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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.

RICHARD KEITH SMEDLEY RMA
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 940-0040
SAMANTHA KAY RASTALL
Behavior Technician
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 248-5205
JENNIFER JOHNSON
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (000) 000-0000
MRS. KWANYAH SEAWOOD SANDIFER
Licensed Practical Nurse
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 940-0040
DEVAN ALEXIS COURTLAND
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (855) 407-7575
JULIE DALTON
Rehabilitation Practitioner
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 940-0040
BRITTENY JEAN ALDRICH
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 788-5955
DANIELLE SUZANNE DETTMANN
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (269) 804-2828

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 Keyona Clark's NPI number?

The NPI number for Keyona Clark is 1386238111. It was assigned to this individual provider in the NPPES registry on February 23, 2021.

Where is Keyona Clark located?

Keyona Clark practices at 1490 E Beltline Ave SE, Grand Rapids, MI 49506. The listed phone number is (616) 940-0040.

What is Keyona Clark's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Keyona Clark was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.