Klenke, Audrey

Klenke, Audrey is an sole proprietor health care provider with primary practice located at 7 Mallett Way , Bluffton SC 29910-6064. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is her primary health care specialty. Klenke, Audrey can be contacted via phone (843) 815-6699.

Contact Information

Primary practice address
7 Mallett Way Bluffton SC 29910-6064
Phone: (843) 815-6699
Fax: (843) 815-6695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35563 South Carolina
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 57013009 Ohio
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 35563 South Carolina

Profile Details

NPI number 1386833770
LBN Legal business name Klenke, Audrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2007
Last updated Jan 31st, 2020 - about 6 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 1386833770 NPPES
South Carolina MEDICAID 355635

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