Klink, Keri Ann

Klink, Keri Ann is an individual health care provider with primary practice located at 512 Saybrook Rd Suite 100, Middletown CT 06457-4788. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Klink, Keri Ann can be contacted via phone (860) 347-7636.

Contact Information

Primary practice address
512 Saybrook Rd Suite 100 Middletown CT 06457-4788
Phone: (860) 347-7636
Fax: (860) 894-1882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 002695 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 002695 Connecticut

Profile Details

NPI number 1336419886
LBN Legal business name Klink, Keri Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2011
Last updated Jul 12th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336419886 NPPES
Connecticut MEDICAID 008037198

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