| Organization Name: | CAROL KLETT VANCE MD, INC. |
| NPI Number: | 1346410321 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROL KLETT VANCE (PHYSICIAN) |
| Mailing Address: | 1619 Curlew Dr Suite 6 Ammon |
| State: | ID US |
| Postal Code: | 834064719 |
| Phone Number: | 2085234688 |
| Fax Number: | 2085234990 |
| NPI Enumeration Date: | 03/06/2008 |
| NPI Last Update Date: | 03/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080P0008X |
| License Number: | M9751 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Neurodevelopmental Disabilities |
| Taxonomy Definition: | A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |