Doctor Name: | CORTNEY CATHERINE KLEIN |
NPI Number: | 1053794305 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | A120867 |
Business Practice Address: | 2055 Kimball Ave 340 Waterloo, IA - 507025014 |
Business Phone Number: | 3192722774 |
Business Fax Number: | |
Mailing Address: | 2055 Kimball Ave, 340 WATERLOO |
State: | IA |
Postal Code: | 507025014 |
Phone Number: | 3192722774 |
Fax Number: | |
NPI Enumeration Date: | 07/06/2015 |
NPI Last Update Date: | 07/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A120867 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |