NPI 1417012022

Carol Klett Vance, MD

Practitioner Pediatric Neurodevelopmental Disabilities Physician Ammon, ID

Practice location

Address: 1619 Curlew Dr STE 6, Ammon, ID 83406-4719
Phone: (208) 523-4688
Fax: (208) 523-4990

Registered specialties

Pediatric Neurodevelopmental Disabilities Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0008X Licence M9751 (ID)

Other Pediatrics providers in Idaho →

Registry record

NPI: 1417012022
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Dec 2006
Record last updated: 5 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.