Healthcare Provider Details

I. General information

NPI: 1417876426
Provider Name (Legal Business Name): LINDSEY CAROL KLAR FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 HIGHWAY 65 S
MORA MN
55051-1619
US

IV. Provider business mailing address

310 HIGHWAY 65 S
MORA MN
55051-1619
US

V. Phone/Fax

Practice location:
  • Phone: 320-225-3525
  • Fax:
Mailing address:
  • Phone: 320-225-3525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2023182
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: