Individual
KELLY NIEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
401 SOUTH 15TH STREET, CLEAR LAKE, IA 50428
(641) 357-7442
(641) 357-3070
Mailing address
621 S ILLINOIS AVE SUITE 103, MASON CITY, IA 50401-5489
(641) 428-3041
(641) 428-3059
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
136011
IA
Other
Enumeration date
03/01/2018
Last updated
07/15/2025
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