Healthcare Provider Details

I. General information

NPI: 1710338694
Provider Name (Legal Business Name): BREAH KLEMP PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2016
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 EXCHANGE ST
CAMBRIDGE WI
53523-9224
US

IV. Provider business mailing address

2 EXCHANGE ST
CAMBRIDGE WI
53523-9224
US

V. Phone/Fax

Practice location:
  • Phone: 608-695-9798
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number3853
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: