MEDICARE: MAUREEN E KLOAP 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
1	363A00000X	Physician Assistant	13216	GA
2	363A00000X	Physician Assistant	PA16884	TX

General Provider Information

NPI Number	:	1437813201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN E KLOAP PA-C

Provider Business Mailing Address
First Line	:	PO BOX 844658
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-4658
Country	:	US
Telephone Number	:	800-994-0371
Fax Number	:

Provider Business Practice Location Address
First Line	:	705 17TH ST STE 200
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31901-3507
Country	:	US
Telephone Number	:	706-660-2485
Fax Number	:

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

Provider Enumeration Date	:	10/27/2021
Last Update Date	:	10/22/2025

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Directions to “ MAUREEN E KLOAP PA-C” Practice Location

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