Individual
CAROL KLOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
515 PACIFIC AVE, AUDUBON, IA 50025-1052
(712) 563-2611
(712) 563-3078
Mailing address
515 PACIFIC AVE, AUDUBON, IA 50025-1052
(712) 563-2611
(712) 563-3078
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A069367
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452755
—
IA
Enumeration date
04/14/2006
Last updated
12/10/2007
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