Individual
SHELLY JO KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
200 MAIN ST, GUTTENBERG, IA 52052-9108
(563) 252-1121
(563) 252-3955
Mailing address
21788 COTTAGE HILL ROAD, DURANGO, IA 52039-9790
(563) 543-2002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A104299
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5204074
CSA
IA
01
—
A104299
LICENSE
IA
Enumeration date
09/21/2016
Last updated
09/21/2016
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