KEIDRA CLARK MSN, RN
NPI 1700711215
Registered Nurse in Lake Charles, LA

Q: What is Keidra Clark's NPI number?

The NPI number for Keidra Clark is 1700711215. It was assigned to this individual provider in the NPPES registry on June 16, 2026.

Q: What is Keidra Clark's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Keidra Clark was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 June 16, 2026

2615 ENTERPRISE BLVD STE B, LAKE CHARLES, LA 70601(337) 802-1757 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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About Keidra Clark Msn, Rn NPPES

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

KEIDRA CLARK MSN, RN (NPI 1700711215) is an individual registered nurse in Lake Charles, Louisiana, licensed in Louisiana (RN129991) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1700711215

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameKEIDRA CLARKCredential: MSN, RN

Location Address2615 ENTERPRISE BLVD STE BLake Charles, LA 70601-7686

Mailing Address5408 Waterside DrLake Charles, LA 70607-1004 · (337) 802-1757

Phone(337) 802-1757

Sole ProprietorNo

Enumeration DateJune 16, 2026

NPPES CertifiedJune 16, 2026

✔ NPI 1700711215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in LA · RN129991

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

2615 ENTERPRISE BLVD STE B, Lake Charles, LA 70601

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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 Keidra Clark's NPI number?

The NPI number for Keidra Clark is 1700711215. It was assigned to this individual provider in the NPPES registry on June 16, 2026.

Where is Keidra Clark located?

Keidra Clark practices at 2615 Enterprise Blvd Ste B, Lake Charles, LA 70601. The listed phone number is (337) 802-1757.

What is Keidra Clark's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Keidra Clark was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.