Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAROL KLETT VANCE MD, INC.
Active OrganizationNeurodevelopmental Disabilities · AMMON, ID
Registration Details
- NPI Number
- 1346410321
- Provider Type
- Organization
- NPI Issued
- Mar 6, 2008 (18.129612801793 yrs)
- Last Updated
- Mar 6, 2008
- License
-
M9751 (ID)
Practice Information
- Address
-
1619 CURLEW DRSUITE 6AMMON, ID, 834064719Browse ID providers · Browse ZIP 83406
- Phone
- 2085234688
- Fax
- 2085234990
- Primary Specialty
-
Neurodevelopmental Disabilities
2080P0008X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.