Kali Jo Clark, RN

Registered Nurse · St. Paul, MN

Individual Active NPI

NPI number 1629330345

Practice location

363 Lakewood Lane
St. Paul, MN 55110-1608
Phone
(651) 303-8997

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NPI record

NPI
1629330345
Entity type
Individual (Type 1)
Enumeration date
June 8, 2012
Last updated
June 8, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Nurse Primary 163W00000X 169039-30 WI
Registered Nurse 163W00000X 38828 MT

Mailing address

363 Lakewood Ln
Saint Paul, MN 55110-1608
Phone
(651) 303-8997

About Kali Clark

Kali Jo Clark, RN is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 363 Lakewood Lane, St. Paul, MN 55110-1608. The NPI number 1629330345 was assigned on June 8, 2012 and the record was last updated on June 8, 2012.

Kali Clark lists 2 licenses in the registry: #169039-30 (WI) for Registered Nurse; #38828 (MT) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kali Jo Clark, RN?

The NPI number is 1629330345.

What is the phone number of Kali Clark?

The phone number listed for the practice location is (651) 303-8997.

Where is Kali Clark located?

363 Lakewood Lane, St. Paul, MN 55110-1608.

What is the taxonomy code for Kali Clark?

The primary taxonomy code is 163W00000X – Registered Nurse; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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