Individual
TIERNIE J. KLUVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 VIRGIL AVE SE, MOUNT VERNON, IA 52314-1589
(319) 895-8841
(319) 895-8477
Mailing address
200 VIRGIL AVE SE, MOUNT VERNON, IA 52314-1589
(319) 895-8841
(319) 895-8477
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
02006
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902034861
—
IA
Enumeration date
06/30/2009
Last updated
11/05/2013
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