MR. KELLY CLARK
NPI 1912891698
Day Training/Habilitation Specialist in Keyport, NJ

Q: What is Kelly Clark's NPI number?

The NPI number for Kelly Clark is 1912891698. It was assigned to this individual provider in the NPPES registry on June 5, 2025.

Q: What is Kelly Clark's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Clark was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 05, 2025

245 W PROSPECT AVE, KEYPORT, NJ 07735(732) 358-3080 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Kelly Clark NPPES

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

MR. KELLY CLARK (NPI 1912891698) is an individual day training/habilitation specialist in Keyport, New Jersey and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1912891698

Entity TypeIndividualMale

Primary Taxonomy373H00000X

Provider Legal NameMR. KELLY CLARK

Location Address245 W PROSPECT AVEKeyport, NJ 07735-5030

Mailing Address245 W Prospect AveKeyport, NJ 07735-5030 · (732) 358-3080

Phone(732) 358-3080

Sole ProprietorNo

Enumeration DateJune 5, 2025

NPPES CertifiedJune 5, 2025

✔ NPI 1912891698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers

Taxonomy Code373H00000X

Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

245 W PROSPECT AVE, Keyport, NJ 07735

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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 Kelly Clark's NPI number?

The NPI number for Kelly Clark is 1912891698. It was assigned to this individual provider in the NPPES registry on June 5, 2025.

Where is Kelly Clark located?

Kelly Clark practices at 245 W Prospect Ave, Keyport, NJ 07735. The listed phone number is (732) 358-3080.

What is Kelly Clark's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Kelly Clark was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.