Provider Demographics
NPI:1861898421
Name:KLOEPPING, DARCI (NP-C)
Entity type:Individual
Prefix:
First Name:DARCI
Middle Name:
Last Name:KLOEPPING
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 E EVERGREEN ST
Mailing Address - Street 2:
Mailing Address - City:CAMERON
Mailing Address - State:MO
Mailing Address - Zip Code:64429-2400
Mailing Address - Country:US
Mailing Address - Phone:816-632-2101
Mailing Address - Fax:
Practice Address - Street 1:12050 12TH ST
Practice Address - Street 2:
Practice Address - City:EAGLEVILLE
Practice Address - State:MO
Practice Address - Zip Code:64442-8158
Practice Address - Country:US
Practice Address - Phone:660-867-5414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-10
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014038746363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
2014038746OtherLICENSE