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NPI Code Detail

MEDICARE: AMY KATHLEEN KLINER RN

MEDICARE: AMY KATHLEEN KLINER RN
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
1163WS0200XSchool Registered Nurse554400CA

General Provider Information

NPI Number : 1346821485
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY KATHLEEN KLINER RN
Provider Business Mailing Address
First Line : 1301 E ORANGETHORPE AVE
Second Line :
City : PLACENTIA
State : CA
Zip : 92870-5302
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1301 E ORANGETHORPE AVE
Second Line :
City : PLACENTIA
State : CA
Zip : 92870-5302
Country : US
Telephone Number : 714-996-1551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2021
Last Update Date : 04/20/2021

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