Kayla Rose Clark

Individual provider Active NPI Case Manager/Care Coordinator · Struthers, OH

NPI 1134094360 · NPPES record last updated Apr 15, 2026

Key facts

NPI
1134094360
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
520 Youngstown Poland Rd
Struthers, OH 44471-1103
Phone
(330) 318-3078
Fax
(234) 855-1072
NPI assigned
Oct 7, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

520 Youngstown Poland Rd
Struthers, OH 44471-1103

Mailing address

2016 Walker Mill Rd
Poland, OH 44514-3646
Phone (724) 657-4670

Other providers in Struthers, OH

All providers in Struthers, OH · Case Manager/Care Coordinator in Ohio

Sources for this page

Verify at the official NPI Registry.