Healthcare Provider Details

I. General information

NPI: 1508675000
Provider Name (Legal Business Name): VALERIE JO KLING MSW INTERN BPH, RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2024
Last Update Date: 12/31/2024
Certification Date: 12/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

249 E TABERNACLE ST STE 100
ST GEORGE UT
84770-2951
US

IV. Provider business mailing address

79 W 700 S
IVINS UT
84738-6249
US

V. Phone/Fax

Practice location:
  • Phone: 435-292-8489
  • Fax:
Mailing address:
  • Phone: 575-993-1848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2279G1100X
TaxonomyGeneral Care Registered Respiratory Therapist
License Number
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: