Klancke, Kim Arlan
Klancke, Kim Arlan is an individual health care provider with primary practice located at 655 N Clyde Morris Blvd , Daytona Beach FL 32114-2321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Klancke, Kim Arlan can be contacted via phone (386) 258-8722.Contact Information
Primary practice address
655 N Clyde Morris Blvd
Daytona Beach FL 32114-2321
Phone: (386) 258-8722
Fax: (386) 258-8659
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME0039807 | Florida |
Profile Details
| NPI number | 1225098981 |
|---|---|
| LBN Legal business name | Klancke, Kim Arlan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Dec 7th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225098981 | NPPES |
| Florida | MEDICAID | 068030300 | |
| Florida | Other | 64479 |
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