Kleckner, Kimberley

Kleckner, Kimberley is an individual health care provider with primary practice located at 14470 Harlee Rd , Palmetto FL 34221-9600. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kleckner, Kimberley can be contacted via phone (941) 747-3011.

Contact Information

Primary practice address
14470 Harlee Rd Palmetto FL 34221-9600
Phone: (941) 747-3011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X TRN17489 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60528246 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME121675 Florida

Profile Details

NPI number 1184053498
LBN Legal business name Kleckner, Kimberley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2013
Last updated Aug 10th, 2023 - about 3 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 1184053498 NPPES
Washington Other P01597812 RR PTAN WVH
Washington MEDICAID 1184053498 RR PTAN WVH

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