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NPI Code Detail

MEDICARE: ASHLEY MORGAN KLINK PA-C

MEDICARE: ASHLEY MORGAN KLINK PA-C
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
1183700000XPharmacy TechnicianID
2363A00000XPhysician Assistant4271480ID
32471C3402XRadiography Radiologic Technologist

General Provider Information

NPI Number : 1184307621
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY MORGAN KLINK PA-C
Provider Business Mailing Address
First Line : 3200 CHANNING WAY STE A206
Second Line :
City : IDAHO FALLS
State : ID
Zip : 83404-7586
Country : US
Telephone Number : 208-529-2230
Fax Number :
Provider Business Practice Location Address
First Line : 3200 CHANNING WAY STE A206
Second Line :
City : IDAHO FALLS
State : ID
Zip : 83404-7586
Country : US
Telephone Number : 208-529-2230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2023
Last Update Date : 06/09/2026

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Directions to “ ASHLEY MORGAN KLINK PA-C” Practice Location

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