MARY KAY KLOCKMANN NP
NPI 1003840174
Nurse Practitioner in Brawley, CA

Q: What is Mary Kay Klockmann's NPI number?

The NPI number for Mary Kay Klockmann is 1003840174. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Q: What is Mary Kay Klockmann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since July 11, 2006

608 G STREET, BRAWLEY, BRAWLEY, CA 92227(760) 351-1011(760) 545-0247 Get Directions Write a Review

NPPES record last updated: May 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Kay Klockmann Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY KAY KLOCKMANN NP (NPI 1003840174) is an individual nurse practitioner in Brawley, California, licensed in California (RN402384) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1003840174

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY KAY KLOCKMANNCredential: NP

Location Address608 G STREET, BRAWLEYBrawley, CA 92227-2567

Mailing Address516 W Aten Rd, ImperialImperial, CA 92251-9805 · (760) 355-7730 · Fax (760) 355-7731

Phone(760) 351-1011

Fax(760) 545-0247

Sole ProprietorYes

Enumeration DateJuly 11, 2006

Last NPPES UpdateMay 8, 2020

NPPES CertifiedMay 8, 2020

✔ NPI 1003840174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · RN402384

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X · License 402384RN (CA), 9766NP (CA)

608 G STREET, Brawley, CA 92227

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Kay Klockmann's NPI number?

The NPI number for Mary Kay Klockmann is 1003840174. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Mary Kay Klockmann located?

Mary Kay Klockmann practices at 608 G Street Brawley, Brawley, CA 92227. The listed phone number is (760) 351-1011.

What is Mary Kay Klockmann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mary Kay Klockmann was last updated on May 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.