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Carol Klett Vance Md, Inc.
Pediatric Neurodevelopmental Disabilities Physician in Ammon, Idaho
NPI 1346410321

Carol Klett Vance Md, Inc. is a Pediatric Neurodevelopmental Disabilities Physician based in Ammon, ID and is specialized in Neurodevelopmental Disabilities. Carol Klett Vance Md, Inc. practices in Ammon, ID. The NPI Number for Carol Klett Vance Md, Inc. is 1346410321 and holds a License No. M9751 (Idaho).

The current practice location address for Carol Klett Vance Md, Inc. is 1619 Curlew Dr, Ammon, ID and can be reached out via phone at 208-523-4688 and via fax at 208-523-4990.

Location: 1619 Curlew Dr, Ammon, ID, 83406-4719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346410321
Provider Name
Carol Klett Vance Md, Inc.
Credential
Provider Entity Type
Organization
Address
1619 Curlew Dr, Ammon, ID, 83406-4719
Phone Number
208-523-4688
Fax Number
208-523-4990
Provider Enumeration Date
03/06/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807573500 05 ID
2618808087 01 ID CIGNA
000010158422 01 ID REGENCE BLUESHIELD
B6254 01 ID BCBS
123868000 01 WY WYOMING MEDICAID
institution
Provider Business Practice Location Address Details
Address
1619 Curlew Dr
City
Ammon
State
Idaho
Zip
83406-4719
Phone Number
208-523-4688
Fax Number
208-523-4990
person
Provider Business Mailing Address Details
Address
1619 Curlew Dr
City
Ammon
State
Idaho
Zip
83406-4719
Phone Number
208-523-4688
Fax Number
208-523-4990
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Neurodevelopmental Disabilities
Taxonomy
2080P0008X
License No.
M9751 (Idaho)
Definition
A pediatrician who 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.
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Carol Klett Vance
NPI 1417012022
Pediatric Neurodevelopmental Disabilities Physician
1619 Curlew Dr Ste 6,
AMMON, ID
83406-4719
208-523-4688
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