Klinker, Kelly Elizabeth
Klinker, Kelly Elizabeth is an individual health care provider with primary practice located at 11104 Parkview Circle Dr Ste 320 , Fort Wayne IN 46845-1733. She recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as her primary health care specialty. Klinker, Kelly Elizabeth can be contacted via phone (260) 266-5300.Contact Information
Primary practice address
11104 Parkview Circle Dr Ste 320
Fort Wayne IN 46845-1733
Phone: (260) 266-5300
Fax: (260) 266-5314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 139359 | Montana |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 01066585A | Indiana |
Profile Details
| NPI number | 1033320064 |
|---|---|
| LBN Legal business name | Klinker, Kelly Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2007 |
| Last updated | Apr 2nd, 2024 - about 5 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033320064 | NPPES |
| Indiana | MEDICAID | 200945020 | |
| Indiana | Other | P00737804 | |
| Indiana | Other | 000000621930 |
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