KELLY C. CLARK

MILWAUKEE, WI
NPI1881842938
Former NameKELLY C. COBURN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WI  3480)
Enumeration Date2008-09-03
Last Update Date2008-09-03
Business Address
Ms. KELLY C. CLARK APNP
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226-4874
Phone number: 414-805-3666
Mailing Address
Ms. KELLY C. CLARK APNP
10000 W INNOVATION DR THIRD FLOOR
MILWAUKEE, WI 53226-4837
Phone number: 414-456-5006
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