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NPI Code Detail

MEDICARE: JENNA M KLIBERT MCD

MEDICARE: JENNA M KLIBERT MCD
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
1235Z00000XSpeech-Language Pathologist61589554WA

General Provider Information

NPI Number : 1639301740
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA M KLIBERT MCD
Provider Business Mailing Address
First Line : 8108 POINT SHERMAN DR UNIT A
Second Line :
City : KODIAK
State : AK
Zip : 99615-6743
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1636 TOLEDANO ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70115-4542
Country : US
Telephone Number : 504-897-2606
Fax Number : 504-891-6048
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2009
Last Update Date : 03/27/2026

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Directions to “ JENNA M KLIBERT MCD” Practice Location

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