Individual provider · Type 1 NPI

Channah C. Klor, FNP-BC

Family Nurse Practitioner · South Bend, IN

NPI number 1609317973 Active

Practice location

3371 W Cleveland Road Ext
South Bend, IN 46628-9780

Call (745) 218-6700 Map

Fax (574) 218-6708

Mailing address

1202 E Eckman St
South Bend, IN 46614-1408

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X71006969A (IN)
Family Nurse Practitioner Primary 363LF0000X71006969A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1609317973

Channah C. Klor, FNP-BC's National Provider Identifier is 1609317973, issued on Mar 20, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Bend, IN. The record was last updated on Jun 7, 2021.