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NPI Profile for KELLY NIEMAN in CLEAR LAKE, IA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1720580277 |
|
| Status | Active | |
| Credentials | ARNP (Advanced Registered Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 03/01/2018 | |
| Last updated | 07/15/2025 - About 11 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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KELLY NIEMAN
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KELLY NIEMAN, ARNP