KIM ARLAN KLANCKE


Address: 655 N Clyde Morris Blvd, Daytona Beach, FL 32114-2321
Phone: 3862588722

KIM ARLAN KLANCKE (NPI# 1225098981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225098981
Entity Type Individual
Full Name KIM ARLAN KLANCKE
Credential MD
Practice Address 655 N Clyde Morris Blvd
Daytona Beach
FL 32114-2321
Mailing Address 695 N Clyde Morris Blvd
Daytona Beach
FL 32114
Practice Telephone 3862588722
Practice Fax Number 3862588659
Mailing Telephone 3862588722
Mailing Fax Number 3862588659
Enumeration Date 2006-03-27
Last Update Date 2017-12-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
ME0039807 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL BC BS 64479 01
FL 068030300 05

Office Location

Street Address 655 N CLYDE MORRIS BLVD
City DAYTONA BEACH
State FL
Zip Code 32114-2321

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174851158 Sidney Possick M.d.,p.a. Dermatology 655 N Clyde Morris Blvd, Suite B, Daytona Beach, FL 32114-2321 2009-12-02
1275639114 Sidney Possick Dermatology 655 N Clyde Morris Blvd, Suite B, Daytona Beach, FL 32114-2321 2006-09-16
1194785519 Hanscy Seide Internal Medicine 655 N Clyde Morris Blvd, Daytona Beach, FL 32114-2321 2006-03-28
1649230103 Beth Ann Bartholomew Internal Medicine 655 N Clyde Morris Blvd, Daytona Beach, FL 32114-2321 2006-03-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376161380 Evolution Health & Performance LLC Physician Assistant 244 S. Palmetto Ave, Daytona Beach, FL 32114 2020-07-07
1407480189 Kierra Imani Kinsey Behavior Technician 1128-a Beville Rd, Daytona Beach, FL 32114 2020-03-02
1043776057 Outreach Community Care Network Inc Pharmacy 240 N. Frederick Avenue, Daytona Beach, FL 32114 2019-02-14
1033681861 Katherine Proppe Specialist/Technologist 1 Aerospace Blvd, Daytona Beach, FL 32114 2018-12-18
1841765047 Anna L Smith Nurse Practitioner 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 2018-10-04
1154806933 Steve Anthony Lee Family Medicine 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 2018-09-27
1285116491 Walgreen Co Durable Medical Equipment & Medical Supplies 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 2018-09-04
1770085656 Merina Lee Occupational Therapist 1159 Australia Ave., Daytona Beach, FL 32114 2018-03-06
1346752755 Hand & Upper Extremity Surgery of Daytona Beach, LLC Non-Pharmacy Dispensing Site 1241 Ridgewood Ave, Daytona Beach, FL 32114 2017-10-26
1104347053 Harry Herman Blanke IIi Family Medicine 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 2017-06-30
Find all providers in zip 32114

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043488661 Huijian James Wang Internal Medicine 305 Memorial Medical Pkwy Ste 300, Daytona Beach, FL 32117-5170 2008-02-16
1417921701 Humayun Jamidar Internal Medicine 311 N Clyde Morris Blvd Ste 320, Daytona Beach, FL 32114-2756 2006-02-14
1972591949 Donald J. Stoner Internal Medicine 303 North Clyde Morris Blvd., Halifax Health Medical Center, Daytona Beach, FL 32114-2709 2005-10-12
1164948360 Heart Rhythm Specialists At Daytona LLC Internal Medicine 305 Memorial Medical Pkwy Ste 300, Daytona Beach, FL 32117-5170 2017-08-18
1033635271 Eric Lup-sing Lo M. D., P.a. Internal Medicine 305 Memorial Medical Pkwy, Daytona Beach, FL 32117-5168 2017-08-18
1871901793 Florentino Alberto Lupercio Lopez Internal Medicine 305 Memorial Medical Pkwy Ste 300, Daytona Beach, FL 32117-5170 2014-07-23
1740559855 Cardiology Physicians Memorial, LLC Internal Medicine 305 Memorial Medical Pkwy, Suite 301, Daytona Beach, FL 32117-5168 2011-12-19
1750514154 Umang Lalit Shah Internal Medicine 695 N Clyde Morris Blvd, Daytona Beach, FL 32114-2321 2009-09-01
1487887295 Vincent Glenn Peterson Internal Medicine 695 N Clyde Morris Blvd, Daytona Beach, FL 32114-2321 2009-08-26
1033340195 Richard Steven Arnold Internal Medicine 303 North Clyde Morris Blvd., Halifax Health Medical Center, Daytona Beach, FL 32114-2709 2009-08-06
Find all providers in DAYTONA BEACH

Competitor

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City DAYTONA BEACH
Zip Code 32114

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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