Individual
KAYE M CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3202 LEONA DR, STORM LAKE, IA 50588-2761
(515) 408-3178
Mailing address
603 N ADAMS ST, CARROLL, IA 51401-2344
(712) 525-0993
(712) 525-9137
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
A063458
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
A063458
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34971
WELLMARK BCBS
IA
Enumeration date
12/14/2005
Last updated
12/20/2024
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