Healthcare Provider Details

I. General information

NPI: 1073214656
Provider Name (Legal Business Name): KLEPKO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2023
Last Update Date: 03/13/2023
Certification Date: 03/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

918 CURLEW RD
DUNEDIN FL
34698-1901
US

IV. Provider business mailing address

1560 SANDY LN
CLEARWATER FL
33755-2150
US

V. Phone/Fax

Practice location:
  • Phone: 727-603-1761
  • Fax:
Mailing address:
  • Phone: 435-862-8672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBYN KLEPKO
Title or Position: OWNER/DC
Credential: DC
Phone: 435-862-8672