Provider Demographics
NPI:1467943860
Name:KLIMARA, KATHERINE MAIRE (AUD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:MAIRE
Last Name:KLIMARA
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:MAIRE
Other - Last Name:RUSSELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:1006 5TH STREET
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241
Mailing Address - Country:US
Mailing Address - Phone:319-338-6043
Mailing Address - Fax:
Practice Address - Street 1:1006 5TH STREET
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241
Practice Address - Country:US
Practice Address - Phone:319-338-6043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-22
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000799231H00000X
IA096122231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist