K. CLARK FAMILY MEDICAL PLLC
NPI 1700566577
Nurse Practitioner - Family in Queen Creek, AZ

Q: What is K. Clark Family Medical PLLC's NPI number?

The NPI number for K. Clark Family Medical PLLC is 1700566577. It was assigned to this organization in the NPPES registry on July 18, 2023.

Q: What is K. Clark Family Medical PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since July 18, 2023

19938 E CARRIAGE WAY, QUEEN CREEK, AZ 85142(480) 518-5251 Get Directions Write a Review

NPPES record last updated: May 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2024, Jul 18, 2023 (2 updates tracked since 2023).

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About K. Clark Family Medical Pllc NPPES

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

K. CLARK FAMILY MEDICAL PLLC (NPI 1700566577) is a healthcare organization registered as a family in Queen Creek, Arizona and active in the NPI registry since July 2023. The organization lists Kailynn Clark, Provider, as its authorized official.

NPPES Registry Identity

NPI1700566577

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameK. CLARK FAMILY MEDICAL PLLC

Location Address19938 E CARRIAGE WAYQueen Creek, AZ 85142-4907

Mailing Address19938 E Carriage WayQueen Creek, AZ 85142-4907 · (480) 518-5251

Phone(480) 518-5251

Organization SubpartNo

Authorized OfficialKailynn ClarkProvider · (480) 518-5251

Enumeration DateJuly 18, 2023

Last NPPES UpdateMay 11, 20242 updates tracked since enumeration

NPPES CertifiedMay 11, 2024

✔ NPI 1700566577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

19938 E CARRIAGE WAY, Queen Creek, AZ 85142

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 K. Clark Family Medical PLLC's NPI number?

The NPI number for K. Clark Family Medical PLLC is 1700566577. It was assigned to this organization in the NPPES registry on July 18, 2023.

Where is K. Clark Family Medical PLLC located?

K. Clark Family Medical PLLC is located at 19938 E Carriage Way, Queen Creek, AZ 85142. The listed phone number is (480) 518-5251.

What is K. Clark Family Medical PLLC'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 K. Clark Family Medical PLLC was last updated on May 11, 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.