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Individual

KARLA KAY CHENEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
405 S CLARK ST, SUITE 100, CARROLL, IA 51401-3065
(712) 792-2222
(712) 792-3875
Mailing address
1929 LOIS AVENUE, CARROLL, IA 51401
(712) 792-8152

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28885
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35947
WELLMARK
NE
05
42146645100
NE
Enumeration date
08/31/2006
Last updated
06/04/2013
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