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Individual
JOHN PETER KLIM
Active
Individual
JOHN PETER KLIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
02002790A
IN
207LA0401X
Addiction Medicine (Anesthesiology) Physician
02002790A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
02002790A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000712623
ANTHEM
IN
01
—
11492492
CAQH
IN
05
—
200462270
—
IN
Enumeration date
03/14/2006
Last updated
02/15/2024
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