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:
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Health care specialties

SpecialtyCodeLicense #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 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225098981 NPPES
Florida MEDICAID 068030300
Florida Other 64479

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