Carol Klett Vance Md, Inc.
Pediatric Neurodevelopmental Disabilities
Carol Klett Vance Md, Inc. is a Ammon, Idaho based Pediatric center with medical specialization in
Pediatric Neurodevelopmental Disabilities.
It is located at
1619 Curlew Dr, Suite 6, Ammon, Idaho - 83406-4719. They can be contacted on phone at
208-523-4688 and fax number 208-523-4990.
NPI number (Unique professional ID) for Carol Klett Vance Md, Inc. is
1346410321 which was assigned by NPPES on 06 Mar, 2008 and it was last updated on 06 Mar, 2008.
Carol Klett Vance Md, Inc. license number is
M9751 for Pediatrics Neurodevelopmental Disabilities (2080P0008X) in Idaho.
Carol Klett Vance Md, Inc. 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.
Complete Profile:
Carol Klett Vance Md, Inc. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neurodevelopmental Disabilities |
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| Provider Name : | Carol Klett Vance Md, Inc. |
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Business Address:
Carol Klett Vance Md, Inc. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1619 Curlew Dr, Suite 6
Ammon, ID, 83406-4719
United States |
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| Phone Number : | 208-523-4688 |
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| Fax Number : | 208-523-4990 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1346410321 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 06 Mar, 2008 |
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| Last Updated On : | 06 Mar, 2008 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Carolklett Vance |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PHYSICIAN |
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| Phone Number : | 208-523-4688 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carol Klett Vance Md, Inc. are as mentioned. Primary taxonomy code for Carol Klett Vance Md, Inc. is
2080P0008X (Pediatrics Neurodevelopmental Disabilities).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0008X | Pediatrics Neurodevelopmental Disabilities | Yes | M9751 | ID |
Legacy Identifiers:
Other legacy medical identifiers of Carol Klett Vance Md, Inc. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| B6254 | Other | ID | BCBS |
| 2618808087 | Other | ID | CIGNA |
| 000010158422 | Other | ID | REGENCE BLUESHIELD |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1619 Curlew Dr, Suite 6
Ammon, ID, 83406-4719
United States |
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| Phone Number : | 208-523-4688 |
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| Fax Number : | 208-523-4990 |
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Business Location:
Patients can refer following map for directions to
Carol Klett Vance Md, Inc. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.