Healthcare Provider Details

I. General information

NPI: 1386375327
Provider Name (Legal Business Name): ALLISON KATHRYN KLINK CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON GLANZ

II. Dates (important events)

Enumeration Date: 06/21/2022
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 BEAVER CREEK CIR STE 110
MAUMEE OH
43537-1746
US

IV. Provider business mailing address

660 BEAVER CREEK CIR STE 110
MAUMEE OH
43537-1746
US

V. Phone/Fax

Practice location:
  • Phone: 419-891-6210
  • Fax: 419-893-3232
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0031542
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: