MEDICARE: DR. RICHARD D KLINGENSMITH D.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
1	111N00000X	Chiropractor	DC001580L	PA
2	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1215009584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD D KLINGENSMITH D.C.

Provider Business Mailing Address
First Line	:	217 GREENWOOD AVE
Second Line	:
City	:	YEAGERTOWN
State	:	PA
Zip	:	17099-9635
Country	:	US
Telephone Number	:	717-248-1818
Fax Number	:

Provider Business Practice Location Address
First Line	:	217 GREENWOOD AVE
Second Line	:
City	:	YEAGERTOWN
State	:	PA
Zip	:	17099-9635
Country	:	US
Telephone Number	:	717-248-1818
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	01/03/2012

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