Limited public information available
This provider is listed in NPPES, but additional records were not identified in the sources currently connected. Additional information may be available directly from official licensing authorities.
KELLIE CLARK, MD
MIDDLEVILLE, MINPI · 1619585403Verified via NPPES
Source: NPPES NPI Registry
Identity & practice
- Legal name
- KELLIE CLARK, MD
- Profession
- Physician
- NPI
- 1619585403
- Primary specialty
- Physician (MD/DO)
- Taxonomy code
- 207Q00000X
- Practice status
- Not on record
- Credentials
- MD
- Practice address
- 490 EDWARD ST · MIDDLEVILLE, MI, 493339131
Practice Locations & Affiliations
Compiled from NPPES, CMS PECOS, and hospital directoriesPrimary Practice Location · NPPES
KELLIE CLARK, MD
490 EDWARD ST · MIDDLEVILLE, MI, 493339131
Phone · 2697954434
Source: NPPES NPI Registry
Practice information is compiled from verified public datasets (NPPES, CMS PECOS, hospital directories, and state licensing records). Public records may vary by source and update schedule.
Contact
2697954434
Verify current contact info directly with the practice.
Verified Public Information
A summary of how many verified public datasets currently contain information for this provider. This is a coverage indicator only — it is not a quality rating and does not evaluate care.
0Verified Public Data Sources Connected
Additional public datasets are still being checked and may become available over time.
Category coverage
- —
Current Licenses
Not Yet Queried · State Medical Boards
- —
Historical Licenses
Not Yet Queried · State Medical Boards
- —
Practice History
Checked — No Public Record Identified · NPPES / CMS PECOS
- —
Hospital Affiliations
Not Yet Queried · CMS Hospital Data
- —
Board Certifications
Not Yet Queried · ABMS Public Lookup
- —
Medical Board Records
Not Yet Queried · State Medical Boards
- —
Quality Data
Not Yet Queried · CMS Care Compare
- —
Verified Public Sources
Checked — No Public Record Identified · NPPES · CMS · State Boards
Missing data is not proof of absence. "Not identified in currently connected public sources." simply means Phoenix Health Compass did not find a record in the datasets currently connected for this category — additional public sources may show more.
Educational reference only. Information on this profile is aggregated from public sources for research and preparation. It is not an endorsement, rating, or recommendation, and it is not a substitute for professional medical advice, diagnosis, or treatment.