Provider Demographics
NPI:1508153057
Name:VANDERKLOK, CARIN MICHELLE (DVM)
Entity Type:Individual
Prefix:DR
First Name:CARIN
Middle Name:MICHELLE
Last Name:VANDERKLOK
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 98552
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27624-8552
Mailing Address - Country:US
Mailing Address - Phone:919-247-4444
Mailing Address - Fax:
Practice Address - Street 1:3901 CAPITAL BLVD
Practice Address - Street 2:SUITE 151
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-3488
Practice Address - Country:US
Practice Address - Phone:919-855-2504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6205174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian