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General NPI Number Information
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NPI Number | 1063087179
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Entity Type | Individual
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Provider Name | ADAM WILLIAM KLINGEMAN DPT
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Gender | Male
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Dates
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Enumeration Date | 05/21/2021
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 2901 BARDSTOWN RD
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City | LOUISVILLE
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State | KY
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Zip | 40205-3017
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Country | US
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Telephone | 502-459-6307
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Fax | 502-459-6309
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Provider Business Mailing Address
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Address Line | 3702 STANTON BLVD
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City | LOUISVILLE
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State | KY
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Zip | 40220-1952
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Country | US
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Telephone | 502-938-5056
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 008418
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License Number State | KY
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