Doctor Name: | KAYE M CLEVELAND |
NPI Number: | 1063497840 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | A063458 |
Business Practice Address: | 1728 Central Ave Suite 14 Fort Dodge, IA - 505014200 |
Business Phone Number: | 5159551836 |
Business Fax Number: | |
Mailing Address: | 325 Loomis Ave, FORT DODGE |
State: | IA |
Postal Code: | 505012416 |
Phone Number: | 5159551836 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2005 |
NPI Last Update Date: | 01/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A063458 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |