Individual
CLINTON EUGENE KNOELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HAD
Contact information
Practice address
411 E REED ST, RED OAK, IA 51566-2372
(712) 623-2565
Mailing address
2519 S 16TH ST, COUNCIL BLUFFS, IA 51501-7569
(712) 623-2565
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
00862
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0463398
—
IA
Enumeration date
11/15/2006
Last updated
01/25/2022
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