KAULETTE CLARK
NPI 1487032132
Nurse Practitioner - Family in Minnetonka, MN
About Kaulette Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAULETTE CLARK (NPI 1487032132) is an individual family provider in Minnetonka, Minnesota, licensed in Texas (AP127823) and active in the NPI registry since May 2015. She maintains a secondary practice location in Houston.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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.
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 Kaulette Clark's NPI number?
The NPI number for Kaulette Clark is 1487032132. It was assigned to this individual provider in the NPPES registry on May 14, 2015. The provider is also known as Kaulette Clark Np-C.
Where is Kaulette Clark located?
Kaulette Clark practices at 9900 Bren Rd E, Minnetonka, MN 55343. The listed phone number is (952) 936-1300.
What is Kaulette Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Kaulette Clark was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kaulette Clark · NPI 1487032132
Family physician in Minnetonka, Minnesota. Individual provider, active in the CMS NPPES registry since May 14, 2015.
## Identity
- **NPI:** 1487032132 (Entity type: Individual)
- **Enumerated:** May 14, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP127823 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 9900 BREN RD E, Minnetonka, MN 55343-9664
- **Phone:** (952) 936-1300
## Record status
- **NPPES last updated:** July 20, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1487032132) · Data from the CMS NPPES public registry.