OrganizationActive
Carol Klett Vance MD, Inc.
NPI 1346410321 · Pediatric Neurodevelopmental Disabilities Physician · Ammon, ID
Provider details
- NPI number
- 1346410321
- Entity type
- Organization
- Primary specialty
- Pediatric Neurodevelopmental Disabilities PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Carol Vance, Physician
- License
- M9751 (ID)
Practice location
1619 Curlew Dr
Suite 6
Ammon, ID 83406-4719
Phone: (208) 523-4688
Fax: (208) 523-4990
Mailing address
1619 Curlew Dr
Ammon, ID 83406-4719
Registry dates
- Enumerated
- 2008-03-06
- Last updated
- 2008-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.