Provider Demographics
NPI:1881491967
Name:CLARKEN, KELSEY IRENE
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:IRENE
Last Name:CLARKEN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2081 190TH ST
Mailing Address - Street 2:
Mailing Address - City:WEBSTER CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50595-7545
Mailing Address - Country:US
Mailing Address - Phone:515-297-3225
Mailing Address - Fax:
Practice Address - Street 1:2081 190TH ST
Practice Address - Street 2:
Practice Address - City:WEBSTER CITY
Practice Address - State:IA
Practice Address - Zip Code:50595-7545
Practice Address - Country:US
Practice Address - Phone:515-297-3225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula