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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY KAY KLOCKMANN, NP

Active Sole Proprietor

MARY KAY KLOCKMANN, NP is a Nurse Practitioner healthcare provider located in BRAWLEY, California. NPI 1003840174 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · BRAWLEY, CA

Registration Details

NPI Number
1003840174
Provider Type
Individual
Gender
Female
NPI Issued
Jul 11, 2006 (20.08683999637 yrs)
Last Updated
May 8, 2020
Licenses
9766NP (CA)
402384RN (CA)
RN402384 (CA)
Sole Proprietor
Yes

Practice Information

Address
608 G STREET
BRAWLEY
BRAWLEY, CA, 922272567
Browse CA providers · Browse ZIP 92227
Phone
7603511011
Fax
7605450247
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in BRAWLEY, CA

Name Credential NPI
ROSEMARY S FRANCO NP 1912064338
LETICIA BUSTAMANTE 1609058924
KIMBERLY CALDERON NP 1932332608
EMILIA BEAS NP 1306117619
ISIOMA UTEBOR 1497148688
TALIA LUC NP 1861926198
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.