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Kellie Marie Clark, MD

Family Medicine Physician in Middleville, MI · enumerated 2020.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619585403

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Registry record

Entity type Individual (Type 1)
Name Kellie Marie Clark
Credential MD
Sex Female
Practice address 490 Edward St, Middleville, MI, 49333
Phone (269) 795-4434
Fax (269) 795-4271
Enumeration date Jul 17, 2020
Last updated in NPPES Sep 11, 2024

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 4301511876 (MI) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1619585403 active?
Yes, as of the latest NPPES snapshot, NPI 1619585403 is active (record last updated 2024-09-11).
How do I verify Kellie Clark's NPI record?
Cross-check NPI 1619585403 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-11.