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General NPI Number Information
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NPI Number | 1881667285
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Entity Type | Organization
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Legal Business Name | KLAES CLINIC, INC.
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 1400 W 2ND ST
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City | SEYMOUR
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State | IN
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Zip | 47274-2224
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Country | US
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Telephone | 812-522-2240
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Fax | 812-522-9582
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Provider Business Mailing Address
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Address Line | PO BOX 747
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City | SEYMOUR
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State | IN
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Zip | 47274-0747
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Country | US
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Telephone | 812-522-2240
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Fax | 812-522-9582
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Authorized Official
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Title or Position | CREDENTIALING
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Name | ALLISHA M NEHRT
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Credential |
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Telephone | 812-522-2240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 510000026A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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