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NPI Code Detail

MEDICARE: CHELSEA KLUGE CONNER PA-C

MEDICARE: CHELSEA KLUGE CONNER PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1356688477
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA KLUGE CONNER PA-C
Provider Business Mailing Address
First Line : 224 HOUSEFINCH LOOP
Second Line :
City : LEANDER
State : TX
Zip : 78641-1766
Country : US
Telephone Number : 916-425-7859
Fax Number :
Provider Business Practice Location Address
First Line : 1500 RED RIVER ST
Second Line :
City : AUSTIN
State : TX
Zip : 78701-1918
Country : US
Telephone Number : 916-425-7859
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2013
Last Update Date : 01/09/2020

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Directions to “ CHELSEA KLUGE CONNER PA-C” Practice Location

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