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Dr. Ethan John Kleckner, D.C.

Chiropractor in Grimes, IA. Individual provider (NPI-1).

NPI number1710072848
StatusActive
Last updated in NPPESOct 13, 2010

Details

NPI
1710072848
Entity type
Individual (NPI-1)
Name
Dr. Ethan John Kleckner
Credential
D.C.
Sex
Male
Sole proprietor
No
Enumeration date
Oct 4, 2006
Last updated
Oct 13, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor06264IAYes

Practice location

250 Sw 1st Street
Ste C
Grimes, IA 50111-2138

Phone 515-986-2233 · Fax 515-986-0041

Mailing address

250 W 1st St
Ste C
Grimes, IA 50111-2138

Phone 515-986-2233 · Fax 515-986-0041

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