Kelsey Clark

Pharmacist · Whitewater, WI

Individual Active NPI

NPI number 1972102465

Practice location

1362 W Main St
Whitewater, WI 53190-1504
Phone
(262) 473-7740

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NPI record

NPI
1972102465
Entity type
Individual (Type 1)
Enumeration date
October 26, 2020
Last updated
October 26, 2020
Certified
October 26, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 17484 WI

About Kelsey Clark

Kelsey Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1362 W Main St, Whitewater, WI 53190-1504. The NPI number 1972102465 was assigned on October 26, 2020 and the record was last updated on October 26, 2020.

Kelsey Clark lists a license in the registry: #17484 (WI) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kelsey Clark?

The NPI number is 1972102465.

What is the phone number of Kelsey Clark?

The phone number listed for the practice location is (262) 473-7740.

Where is Kelsey Clark located?

1362 W Main St, Whitewater, WI 53190-1504.

What is the taxonomy code for Kelsey Clark?

The primary taxonomy code is 183500000X – Pharmacist.

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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