NPI
Kelly Sue Clark
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- Registered Nurse
- Type
- Individual
- Enumeration date
- 2018-04-27
- Last updated
- 2018-04-27
Specialties
Licenses
- License IL
- 041405442
Location
- Practice location
- 28 Chick St
- City
- Metropolis IL
- Postal code
- 62960-2467
- Phone
- (618) 524-2176
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Metropolis, IL. 195 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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