Kelley A. Clark, PA-C
- Part D claims, 2024
- 51
- Hospital affiliations
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2011
- Practice address
- 1105 Sixth Street, Traverse City, MI 49684
- Practice phone
- Call (231) 935-5000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Kelley Clark's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Kelley A. Clark is a physician assistant in Traverse City, Michigan
Kelley Clark practices at Munson Medical Center in Traverse City, Michigan, part of Munson Healthcare.
Kelley Clark's NPI, 1194004069, was assigned on August 10, 2011. Kelley Clark holds Massachusetts license PA4209.
- NPI
- 1194004069NPI Registry (opens in a new tab)
- NPI enumeration date
- August 10, 2011
- NPI status
- Active
- Practice phone
- (231) 935-5000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 41
- Medical school graduation
- 2011
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data
Kelley A. Clark practices at Munson Medical Center in Traverse City, Michigan
Kelley Clark's primary practice is Munson Medical Center, at 1105 Sixth Street, Traverse City, MI 49684 in Grand Traverse County. The practice phone is (231) 935-5000.
- Munson Medical Center1105 Sixth Street, Traverse City, MI 49684 · Grand Traverse CountyPhone(231) 935-5000
Source: Dmand AI Affiliation Data
Kelley A. Clark is affiliated with 2 sites of care and 1 medical group
Kelley Clark's primary practice is Munson Medical Center in Traverse City, Michigan, part of Munson Healthcare. The medical group on file is Boston Medical Center Neurosurgery. Dmand AI also links Kelley Clark to 1 more group practice or clinic, named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Kelley A. Clark's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Kelley Clark practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Munson Medical Center | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
Dmand AI maps EHR vendors, IT decision makers and buying committees across Munson Healthcare and 6.2K+ hospitals, with verified contacts in the same login.
Kelley A. Clark is one of 5,857 physician assistants in Michigan
Physician assistant is Kelley Clark's primary specialty in the NPI Registry, under taxonomy code 363A00000X. Kelley Clark is licensed in Massachusetts.
Specialties and state licenses
- Physician assistant, MassachusettsPrimary
Physician assistants near Kelley Clark
Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Kelley A. Clark's patients have a median age of 63
Across all payers, Dmand AI patient panel data puts Kelley Clark's median patient age at 63, with 47% women.
Kelley Clark's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 63
Patient panel by sex, all payers
- Women47%
- Men53%
Source: Dmand AI Patient Panel Data
Kelley A. Clark wrote 51 Medicare Part D claims in 2024
In 2024, Kelley Clark wrote 51 Medicare Part D claims for 19 patients. 94% of them were for generic drugs.
Kelley Clark's Part D claims by kind of drug, 2024
- Generic48 claims94%
- Brand-name and other3 claims6%
Source: Medicare Part D Prescribers - by Provider (CMS), 2024 data
For MedTech and pharma teams
Filter 7.4M+ HCPs by Medicare procedures, Part D drugs and Open Payments history, then reach them with verified contacts in one login.
Sources for Kelley A. Clark's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| Part D prescribing | Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Kelley A. Clark
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Kelley A. Clark's NPI number?
Kelley A. Clark's NPI number is 1194004069. It was assigned on August 10, 2011, and it is active in the NPI Registry.
What does Kelley A. Clark specialize in?
Kelley A. Clark is a physician assistant in Traverse City, Michigan. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).
Where does Kelley A. Clark practice?
Kelley Clark practices at 1105 Sixth Street, Traverse City, MI 49684. Kelley Clark's primary practice is Munson Medical Center in Traverse City, Michigan, part of Munson Healthcare. Dmand AI also links Kelley Clark to 1 group practice or clinic.
What is Kelley A. Clark's office phone number?
The practice phone on file for Kelley Clark is (231) 935-5000.
What is Kelley A. Clark's medical license number?
Kelley Clark holds Massachusetts license PA4209.
Which hospitals is Kelley A. Clark affiliated with?
Kelley Clark practices at Munson Medical Center in Traverse City, Michigan.
What medical group is Kelley A. Clark part of?
Kelley Clark is linked to Boston Medical Center Neurosurgery.
How long has Kelley A. Clark been practicing?
Kelley Clark graduated from medical school in 2011, 15 years ago.
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