KELLI MARIE CLARKE NPI 1902749302

NPI Information

  • NPI: 1902749302
  • Provider Name: KELLI MARIE CLARKE
  • Classification: Registered Nurse - 163WP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 1111 E BRICKYARD RD APT 530
    SALT LAKE CITY, UT
    ZIP 84106
  • Phone: (801) 662-1000

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NPI Details

Kelli Marie Clarke is a pediatrics registered nurse in Salt Lake City, UT. Kelli Marie Clarke NPI is 1902749302. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1111 E BRICKYARD RD APT 530
SALT LAKE CITY, UT
ZIP 84106-443
Phone: (801) 662-1000

The enumeration date for this NPI number is 4/10/2026 and was last updated on 4/10/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0200XRegistered NursePediatrics11129491-3102UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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