Provider Demographics
NPI:1306514419
Name:KLATT, CINDY
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:KLATT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2742 460TH ST
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:MN
Mailing Address - Zip Code:56522-9003
Mailing Address - Country:US
Mailing Address - Phone:320-287-1888
Mailing Address - Fax:
Practice Address - Street 1:2742 460TH ST
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:MN
Practice Address - Zip Code:56522-9003
Practice Address - Country:US
Practice Address - Phone:320-287-1888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider