Healthcare Provider Details

I. General information

NPI: 1740836824
Provider Name (Legal Business Name): HALEY MORGAN KLINGER RDN, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2019
Last Update Date: 08/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 CHURCH ST
LEBANON PA
17046-4656
US

IV. Provider business mailing address

584 SPRINGVILLE RD
NEW HOLLAND PA
17557-9564
US

V. Phone/Fax

Practice location:
  • Phone: 717-272-2700
  • Fax:
Mailing address:
  • Phone: 717-354-4711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN006883
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: