Healthcare Provider Details

I. General information

NPI: 1861898421
Provider Name (Legal Business Name): DARCI KLOEPPING NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2014
Last Update Date: 12/16/2019
Certification Date: 12/16/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12050 12TH ST
EAGLEVILLE MO
64442-8158
US

IV. Provider business mailing address

1600 E EVERGREEN ST
CAMERON MO
64429-2400
US

V. Phone/Fax

Practice location:
  • Phone: 660-867-5414
  • Fax:
Mailing address:
  • Phone: 816-632-2101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2014038746
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: