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KLECKNER CHIROPRACTIC CLINIC P.C. NPI 1881789931


NPI Information

NPI: 1881789931
Provider Name: KLECKNER CHIROPRACTIC CLINIC P.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
250 SW 1ST ST STE C
GRIMES, IA
ZIP 50111
Phone: (515) 986-2233
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KLECKNER CHIROPRACTIC CLINIC P.C. is a chiropractor in Grimes, IA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. KLECKNER CHIROPRACTIC CLINIC P.C. NPI is 1881789931. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

250 SW 1ST ST STE C
GRIMES, IA
ZIP 50111-138
Phone: (515) 986-2233
Fax: (515) 986-0041

The provider's authorized official is Ethan John Kleckner .
The authorized official title is Doctor/owner and has the following contact phone number (515) 986-2233.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 8/29/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor06264IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10205567MEDICAIDIOWA
2U79234MEDICARE UPINIOWA
309304MEDICARE PINIOWA
4350048034OTHERIOWARAILROAD MEDICARE
509304OTHERIOWABLUE CROSS NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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