Provider Demographics
NPI:1629208467
Name:KLEENE, CALLA JAYNE HENNING (DC)
Entity Type:Individual
Prefix:DR
First Name:CALLA JAYNE
Middle Name:HENNING
Last Name:KLEENE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 NORTH CENTER POINT ROAD
Mailing Address - Street 2:
Mailing Address - City:HIAWATHA
Mailing Address - State:IA
Mailing Address - Zip Code:52233-1401
Mailing Address - Country:US
Mailing Address - Phone:319-892-3363
Mailing Address - Fax:319-892-3034
Practice Address - Street 1:99 NORTH CENTER POINT ROAD
Practice Address - Street 2:
Practice Address - City:HIAWATHA
Practice Address - State:IA
Practice Address - Zip Code:52233-1401
Practice Address - Country:US
Practice Address - Phone:319-892-3363
Practice Address - Fax:319-892-3034
Is Sole Proprietor?:No
Enumeration Date:2009-07-14
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007222111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor