Kelley D. Clark, MD
NPI 1073695045ActiveIndividual· Obstetrics & Gynecology, Maternal & Fetal Medicine· York, PA
Obstetrics & Gynecology, Maternal & Fetal Medicine (MD) in York, Pennsylvania, trained at Kentucky School of Medicine (class of 1990). Enrolled in Medicare as practitioner - obstetrics/gynecology and practitioner - obstetrics/gynecology.
Overview
| NPI | 1073695045 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Oct 19, 2006 |
| Last updated in NPPES | Jul 31, 2026 |
| Certified by provider | Jul 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology, Maternal & Fetal Medicine Primary | 207VM0101X | MD431748 | PA |
| Obstetrics & Gynecology, Maternal & Fetal Medicine | 207VM0101X | 0101259164 | VA |
| Obstetrics & Gynecology, Maternal & Fetal Medicine | 207VM0101X | 40584 | TN |
| Obstetrics & Gynecology, Maternal & Fetal Medicine | 207VM0101X | 30720 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Obstetrics/Gynecology (PA); Practitioner - Obstetrics/Gynecology (VA) |
|---|
Education and affiliations
| Medical school | Kentucky School of Medicine |
|---|---|
| Graduation year | 1990 |
| Medicare specialty | Obstetrics/Gynecology |
Medical group
- Wellspan Medical GroupEphrata, PA · 2,480 clinicians
Hospital affiliation
- Wellspan York HospitalYork, PA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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