Klopfenstein, Connie Lee (Becker)

Klopfenstein, Connie Lee (Becker) is an individual health care provider with primary practice located at 1501A Kalamazoo Dr , Griffin GA 30224-3919. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Klopfenstein, Connie Lee (Becker) can be contacted via phone (770) 358-8280.

Contact Information

Primary practice address
1501A Kalamazoo Dr Griffin GA 30224-3919
Fax: (770) 229-3373
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X RN R070429 Georgia

Profile Details

NPI number 1497871313
LBN Legal business name Klopfenstein, Connie Lee (Becker)
Credentials APRN, CS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 2007 - about 17 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 1497871313 NPPES
Georgia Other RN R070429 APRN RN LICENSE NUMBER

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