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NPI Code Detail

MEDICARE: AMY KLING

MEDICARE: AMY KLING
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
1133N00000XNutritionist

General Provider Information

NPI Number : 1740004324
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY KLING
Provider Business Mailing Address
First Line : 3622 N 38TH ST UNIT 7
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-5851
Country : US
Telephone Number : 281-744-2798
Fax Number :
Provider Business Practice Location Address
First Line : 3622 N 38TH ST UNIT 7
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-5851
Country : US
Telephone Number : 281-744-2798
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2024
Last Update Date : 11/11/2024

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Directions to “ AMY KLING ” Practice Location

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