MEDICARE: CHRISTOPHER KLING, M.D., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician

General Provider Information

NPI Number	:	1083844104
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTOPHER KLING, M.D., INC.

Provider Business Mailing Address
First Line	:	16759 MAIN ST
Second Line	:	SUITE 201
City	:	WILDWOOD
State	:	MO
Zip	:	63040-1232
Country	:	US
Telephone Number	:	636-821-1661
Fax Number	:	636-821-1665

Provider Business Practice Location Address
First Line	:	16759 MAIN ST
Second Line	:	SUITE 201
City	:	WILDWOOD
State	:	MO
Zip	:	63040-1232
Country	:	US
Telephone Number	:	636-821-1661
Fax Number	:	636-821-1665

Authorized Official
Title or Position	:	PHYSICIAN/PRESIDENT
Name	:	DR. CHRISTOPHER W KLING
Credential	:	MD
Telephone Number	:	636-821-1661

Provider Enumeration Date	:	07/23/2009
Last Update Date	:	07/23/2009

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