MEDICARE: KAREN CLONINGER

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
1	207RC0000X	Cardiovascular Disease Physician	200000200	NC

General Provider Information

NPI Number	:	1992713440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN CLONINGER

Provider Business Mailing Address
First Line	:	447 MCALISTER RD
Second Line	:
City	:	LINCOLNTON
State	:	NC
Zip	:	28092-4114
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	447 MCALISTER RD
Second Line	:	LINCOLN MEDICAL PLAZA II
City	:	LINCOLNTON
State	:	NC
Zip	:	28092-4114
Country	:	US
Telephone Number	:	980-212-6300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	11/08/2018

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